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Home My WebLink About06/2015"DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 6151 -Cox Line, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59440 LB Scale 1 Tare Wt. 36260 LB Net Weight 23180 LB QTY UNIT I DESCRIPTION 11 59 TON I Single Stream Recycl WAY,", s- N SITE TICKET GRID WEIGHMASTER 01 01149843 Dan DATE IN DATE OUT TIME IN TIME OUTVEHICLE ROLL OFF 06/19/15 06/19/15 12:14 12.33 1 11114TC Outbound - Charge ticket 15 000 N Operating hours 7'00 AM to 5:00 PM 7 days a week ^mss J CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7KNUN NEXT HOLIDAY CLOSED' SATURDAY, JULY 4, 201qIN OBSERVANCE OF INDEPENDENCE DAY ! `, 17385 1 6 -TT 1 17385 17385 SIGNATURE \ "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER r SOUTHOLD TOWN DEPT SOLID WASTE 01 01149843 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/19/15 06/19/15 12.14 12:33 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59440 LB Scale 1 Tare Wt. 36260 LB Net Weight 23180 LB QTY UNIT DESCRIPTION 11 59 TON Single Stream Recycl Vperating nours /'UU Am t0 b'UU F'IVI t aays a WeeK., CLOSED HOLIDAYS - QUESTIONS CALL 631-734 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY Outbound - Charge ticket RATE EXTENSION FEE TOTA 15 000 17385 000 173.85 SIGNATURE NI 17385 TRINITY TRANSPORTATION CORPORATION ��214 Blydenburgh Road f ' 1' ("I Qp�-OQ NO. Oyv Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PV'POSES ONLY. GENERATOR DOES'NOT TAKEP..OSSESSION OR TITLE OF.ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSU 0E ANY LIABILITY ASSOCIATED -WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: J 0 (,(`i Y i :� 1., i� SHIP DATE: G I s COMMODITY SHIPPED: LOOSE: i U k-) (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ��Yd GROSS TARE a-31!E�b 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=AN.Y_APPLICABLE STATE -LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER "CONDITION FOR'TRANSPORTATION`ACCORD.LNG TO APPLICABLE REGULATION. GENERATOR AUTHOR IZED,AGENT.(PRINT NAME)� (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. / 'J LICENSE.NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY -THAT THE ABOVE NAMED MATERIAL WAS'PICKED UP AT THE GENERATOR SITE LISTED ABOVE,,AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW /J DRIVER: v C (PRINT NAME) (SIGNATURE) DESTINATION r• � DISPOSAL LOCATION: U O )IC- JJ A V I ' :L i . 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 01149774 Dan 6155*Cox.Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/19/15 06/19/15 09:28 09:44 11114TC 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 79420 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB Net Weight 43200 LB QTY UNIT I DESCRIPTION RATE EXTENSION FEE TOTAL 21 60 TON OUTGO MSW 0 000 000 0-00- 000 0pF S ®U, Operating hours AM to 5.00 PM 7 days a week ^� ��J�� • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7,685. 000 NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 TENDERED IN OBSERVANCE OF INDEPENDENCE DAY CHANGE CHECK NO. SIGNATURE *DUPLICATE TICKET*' SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01149774 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN_ I TIME OUT VEHICLE ROLL OFF 06/19/15 06/19/15 09:28 0944 11114TC 009304 Winters Brothers Scale 2 Gross Wt. 79420 LB Outbound - Charge ticket Scale 1 Tare Wt. 36220 LB Net Weight 43200 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE 7TOTAL 21 60 TON OUTGO MSW 0 000 000 000 0.00 rSO&,o®� Opera Ing hours o ays a wee CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685- 000 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 �/j�/1®1/p1 @�`� TENDERED IN OBSERVANCE OF INDEPENDENCE DAY CHANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENSOE URPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATER ALS BEING SHIPPED AND DOES NOT SLIMANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. / _ COMPANY: � V L I� SHIP DATE: u! l� J COMMODITY SHIPPED: )� -S JAI ! , LOOSE: 1 V 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 2-2,4/�20 GROSS h U-0 TARE It it ~L i 9LyJ 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 EOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION: . GENERATOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTATION/FREIGHT CO. _ TRUCK NO. .2-5 TRAILER NO (S TRANSPORTER LICENSE NO/STATE:. fi LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTS OVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: -,TOC-' C-) (PRINT NAME) (SIGNATURE) u DE (NATION 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) - KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR' SIGNATURE/DATE DISPOSAL LOCATION TICKET NO —DUPLICATE TICKET" UNIT DESCRIPTION SOUTHOLD TOWN DEPT SOLID WASTE FEE TOTAL 615.5,Cox Lane, PO Box 962 TON Single Stream Recycl Cutchogue, NY 11935 000 17790 009306 Town of Brookhaven Waste Manag S OU One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 61500 LB Scale 1 Tare Wt. 37780 LB Net Weight 23720 LB QTY. UNIT DESCRIPTION 11 86 TON Single Stream Recycl SITE TICKET GRID 01 01149745 1 1 DATE IN DATE OUT TIME IN TIME OUT 06/19/15 06/19/15 1 0704 1 07.20 Outbound - Charge ticket RATE EXTENSION 15 000 17790 ®� s uo (2.1 As Operating hours 7.00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 ��C® IN OBSERVANCE OF INDEPENDENCE DAY V 1U 1 SIGNATURE WEIGHMASTER Dan VEHICLE ROLL OFF 111 14T FEE TOTAL 0. -Oa---- 17790 177.90 TENDERED —DUPLICATE TICKET" SITE TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01149745 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/19/15 06/19/15 0704 07.20 111 14T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE . Farmingville NY 11738 Scale 2 Gross Wt. 61500 LB Outbound - Charge ticket Scale 1 Tare Wt. 37780 LB Net Weioht 23720 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 11 86 TON Single Stream Recycl 15.000 17790 000 17790 S OU J� G C1111 IV IIUuia r vv nIVI w U vv I ,vi i Uaya a rrccn. wuo CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.//NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEREh BEING SHIPPED AND DOES NOT COMPANY: COMMODITY SHIPPED 1:f URPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO JME ANY LIABILITY -ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS O(A T �j j L \� SHIP DATE: }J I LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: l .� /5Up GROSS 3 7 7�0 TARE 7,10 NET MATERIALS )� 115 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 CFRP_ART 261_(QR ANY APPEI AG _BL -E'S E.LAW,'HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND, PACKAGED. AND IS 1N PROPER CONDITfbr_ I TO LICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) NSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO.y 5 LICENSE NO/STATE: TRAILER NO.. Z 7 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 _37 DRIVER: ) L• 6 (PRINT NAME) (SIGNATURE) DESTINATION r 3 DISPOSAL LOCATION: 1 o `' 14 �,, �n, u j" DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND.TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: . RECEIVED BY: AUTHORIZED AGENT(PRINT.NAME) KEY: WHITE TO DISPOSAL. LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR NATURE/DATE DISPOSAL 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. 81040 LB Scale 1 Tare Wt. 37640 LB Net Weight 43400 LB QTY UNIT 'DESCRIPTION 21 70 TON OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 1 01149959 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/20/15 06/20/15 07:04 07.22 11114TC Outbound - Charge ticket Ion SOUL CA Operating hours 7'00 AM to 5'00 PM 7 days a weep "`� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685®� NEXT OBSEOLIDAY RVANCE OFSIND INDURDAY, JULY EPENDENCE NCE DAY 4, 2015f� ®e/N'[� ' —DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox'Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers I TENDERED I SIGNATURE \ SITE 1, TICKET r GRID WEIGHMASTER r 01 01149959 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/20/15 06/20/15 07'04 07:22 111 14T Scale 2 Gross Wt. 81040 LB Scale 1 Tare Wt. 37640 'LB K1.+ %Al.iM f AlAnn I R Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21 70 TON OUTGO MSW 0 000 000 000 0.00 r®f Sol/ �� Ff)< Operating hours 7'00 AM to 5.00 PM 7 days a week�.:.�_��`v CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.®�i'� NEXT HOLIDAY CLOSED' SATURDAY, JULY 4, 2015 IN OBSERVANCE OF INDEPENDENCE DAY U�11 SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0809 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE"PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATE IALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS 140 COMPANY: � o u -r f c -)L 1 SHIP DA_ TE: COMMODITY SHIPPED: An _5 L,_) / LOOSE: I o C (CU YDS) BALES: (COUNT): _ J TRUCK WEIGHT: / I U GROSS �'� �t'I ro /� TARE `'1 V t J 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) TRANSPORTATION/FREIGHT,CO. TRUCK NO. Z- 5 TRAILER NO. ) I_ TRANSPORTER' i L ` LICENSE NO/STATE: 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 l I J} t �` � DISPOSAL LOCATION:/ f ! i 1 "r l�- i 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) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01150012 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF 06/20/15 06/20/15 09:54 10.07 111 14T 009304 Winters Brothers REFERENCE Scale 2 Gross Wt. 77560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36100 LB Net Weight 41460 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2073 TON OUTGO.MSW 0 000 000 0 00 0.00 ®F SOU Operating hours 0 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 TENDERED c® IN OBSERVANCE OF INDEPENDENCE DAY iI m i CHANGE CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01150012 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 1.1935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/20/15 06/20/15 0954 1007 111 14T 009304 Winters Brothers Scale 2 Gross Wt. 77560 LB Outbound - Charge ticket Scale 1 Tare Wt. 36100 LB Net Weight 41460 LB QTY UNIT " DESCRIPTION RATE' EXTENSION FEE TOTAL 2073 TON OUTGO MSW 0.000 000 000 000 e� ®f S 0&� CA Opera mg hours HU AM to ays a wee -�, �►� �� • CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685. / 0 00 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 lffCjyI1 TENDERED IN OBSERVANCE OF INDEPENDENCE DAY Up CHANGE CHECK NO-��q SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 0 810 Islandia, NY 11749 �� = -- y �` NO. (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 WITHTHE SHIPMENT OF SUCH MATERIALS. COMPANY: Jy Vl I ��. VL �� SHIP DATE: COMMODITY SHIPPED: LOOSE: y U i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: fit' 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 P: 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: 1 TRUCK NO. 5 LICENSE NO/STATE: TRAILER NO. L `7 LICENSE NO/STATE: s • I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATORSITELISTED ABOVE, AND THAT- IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: % (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: • IJ I E" . II� DATE DELIVERED: 1 1 I ' ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIALHAS BEEN*ACCEPTED-AND TO. -THE BEST OF•MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO 'r SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 77740 LB Scale 1 Tare Wt. 36400 LB Net Weiqht 41340 LB SITE TICKET GRID WEIGHMASTER 01 01150549Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/22/15 06/22/15 13:00 1312 111 14T Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2067 TON OUTGO MSW 0 000 000 0 00 000 ®F S 00 2067 TON OUTGO MSW 0 000 000 000 000 ®f S ®llj 4-0 coa-_ Uperating nours f'UU AM to b:UU FM / nays a WeeK-'N19F CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201ifIN OBSERVANCE OF INDEPENDENCE DAY 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. Net Weioht SIGNATURE SITE TICKET GRID WEIGHMASTER 01 01150549 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/22/15 06/22/15 13:00 1312 111 14T 77740 LB Outbound - Charge ticket 36400 LB 41340 LB OTY UNIT DESCRIPTION' RATE , EXTENSION FEE TOTAL. 2067 TON OUTGO MSW 0 000 000 000 000 ®f S ®llj 4-0 Onera ino hours o ays . A T • CLOSED HOLIDAYS -QUESTIONS CALL 631-734 XIsw . NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE 000 TENDERED CHANGE CHECK NO. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 � -- •air , r `+��- .,-:,-. fir...:= ., , v-. -. �_; ?. ace 10585 THIS MANIFEST IS FOR REFERWCE PURPOSES ONLY: GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO BEING SHIPPED AND DOES N ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: U � 1 Ll U L-0 SHIP DATE: C/D COMMODITY SHIPPED: I" 1 5 W LOOSE: J U Q (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` ' C) GROSS U( Uo TARE qU NET MATERIALS 221) 5 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 fR ANSPTRTATION ACCORDING TO APPLICABLE REGULATION. ----------- GENERATOR ---------GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) _ TRANSPORTER TRANSPORTATION/FREIGHT CO. � �1 ►� 1 TRUCK NO. / LICENSE NO/STATE: TRAILER NO. f 2 LICENSE NO/STATE- I'HEREBY CERTIFY' THAT- THE ABOVE NAME -D- MATERIAL WAS PICKED'UP AT THE GENERATOR SITE LIS D ABOVE, AND -THAT' IT,:WAS DELIVERED WITHOUT INCIDENT TO' THE' DESTINATION. LISTED BELOW DRIVER: / (PRINT NAME) %/ (SIGNATURE) DESTINA DISPOSAL LOCATION: ADDRESS: 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 AUTHORIZE D'AGENT(PRINT NAME) - "-` - SIGNATURE/DA-T& 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 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 SITE TICKET GRID WEIGHMASTER 01 01150488 Steph DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/22/15 1 06/22/15 1 10'32 10'52 11114TC Scale 2 Gross Wt. 56260 LB Outbound - Charge ticket Scale 1 Tare Wt. 37740 LB Net Weight 18520 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 9.26 TON Single'Stream Recycl 15 000 13890 0 00 13890 N ®f S 000 49 � Operating hours 7:00 AM to 5'00 PM 7 days a week ^� ��`� �V ' •' CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685,! 13890 NEXT HOLIDAY CLOSED' SATURDAY, JULY 4, 2015 ) jn�� TENDERED c® IN OBSERVANCE OF INDEPENDENCE DAY V NT11 _ Operating hours 7'00 AM to 5.00 PM 7 days a weeks CLOSED HOLIDAYS - QUESTIONS CALL 631-734 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY us �i INN, AL w,v SIGNATURE ME 13890 SIGNATURE \ / SITE I TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01150488 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/22/15 06/22/15 10'32 10'52 11 14T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 56260. LB Outbound - Charge ticket Scale 1 Tare Wt. 37740 LB Net Weight 18520 LB QTY UNIT DESCRIPTION RATE EXTENSION': FEE TOTAL 9.26 TON I Single Stream Recycl 15 000 13890 000 13890 Operating hours 7'00 AM to 5.00 PM 7 days a weeks CLOSED HOLIDAYS - QUESTIONS CALL 631-734 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY us �i INN, AL w,v SIGNATURE ME 13890 _ _ _ .. - - - r —_ _ ._ ".. .r _ _ i -.tel .,. -• .._ - . -. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 10584 Islandia, NY 11749 NO (631) 342-9673 THIS MANIFEST IS FOR REFERENgf.PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS 11.5 COMPANY: VOL 1 1 � I L) L l) SHIP DATE: 61;2 COMMODITY SHIPPED: P (% LOOSE: , U u (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ("� `=' GROSS TARE Z U NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED] AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE; TRANSPORTER TRANSPORTATION/FREIGHT CO. I + �--- TRUCK NO. LICENSE LICENSE NO/STATE: TRAILER NO. ICENSE NO/STATE• I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS' PIC -KED UP AT THE GENERATOR SITE. LISTED DELIVERED WITHOUT INCIDENT TO THE'DESTINATION: LISTED. BELOW DRIVER: i CT 'l (PRINT NAME) r (SIGNATURE) E, AND 'THAT IT WAS DESTINATION DISPOSAL LOCATION: i lJ R 1A A DATE DELIVERED: + ADDRESS: •.I HER£BY•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 .TODISPOSAL-LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR' DISPOSAL. LOCATION TICKET NO' SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 85140 LB Scale 1 Tare Wt. 36640 LB Net Weight 48500 LB QTY. UNIT DESCRIPTION 24.25 1 TONI OUTGO MSW rSITET TICKET GRID WEIGHMASTER [01 01150420 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF ` 06/22/15 1 06/22/15 1 07'01 0714 1 11114TC Operating hours 7.00 AM to 5 00 PM 7 days a week n CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76.85?:/! NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 �c/) IN OBSERVANCE OF INDEPENDENCE DAY Uf�T�, SOUTHOLD TOWN DEPT SOLID WASTE 6155 Coit Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket RATE EXTENSION FEE TOTAL 0 000 000 000 000 LSD 000 TENDERED SIGNATURE SITE TICKET GRID WEIGHMASTER 01 01150420 Steph DATE IN • DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/22/15 06/22/15 1 07:01 0714 111 14T Scale 2 Gross Wt. 85140 LB Scale 1 Tare Wt. 36640 LB Net Weinht 4minn I R Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 24.25 TON OUTGO MSW 0 000 000 000 000 �oF Sol/ ®/ ®� Uperating hours /-UU AM to b'UU NM / clays a weeK� � V CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685t�1,/� NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 201col jp IN OBSERVANCE OF INDEPENDENCE DAY V 11I 6'! SIGNATURE - •- - - ...r ' It .. - .. .w -- r ^Y.. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 NO (631) 342-9673 THIS MANIFEST IS FOR REFERENCIj 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: )b L.�T) 1 U L 0 SHIP DATE: G 2Z l COMMODITY SHIPPED: 1-1 S 1_ I / LOOSE: 1 o U (CU YDS) BALES: (COUNT): TRUCK WEIGHT 7) �! GROSS vL ffG�� TARE 0 ('QU CD 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) TRANSPORTATION/FREIGHT CO. TRUCK NO. . TRAILER NO. ANSPORTER I I) , t__ -- LICENSE LICENSE NO/STATE: 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:rl,.-)A1Afj—1 II S DATE DELIVERED: ADDRESS:. I -HEREBY CERTIFY THAT'THE•ABOVE•MATERI'AL HAS BEEN ACCEPTED AND'TOTHE:BEST OF MY KNOWLEDGE THE INFORMATION"PROVIDED' IS TRUE AND ACCURATE: RECEIVED BY: - f AUTHORIZED AGENT(,PRINT NAME) " KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER' ' YELLOW TO TRANSPORTER. PINK TO GENERATOR, GOLD TO GENERATOR" - SIGNATURE/DATE - DISPOSAL LOCATION TICKET NO A s Operating hours 7.00 AM to 5.00 PM 7 days a week J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685�/ p` NEXT HOLIDAY CLOSED SATURDAY, JULY 4,20 5 �'d U IN OBSERVANCE OF INDEPENDENCE DAY �� I TENDERED I SIGNATURE FEE TOTAL \ 15 000 176.25 SITE I TICKET GRID WEIGHMASTER 01 01150766 GRID Steph SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 2 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT 06/23/15 06/23/15 VEHICLE ROLL OFF 12:56 13:16 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 06/23/15 12:56 1316 111 14T 009306 Town of Brookhaven Waste Manag Scale 2 Gross Wt. 59780 LB Outbound - Charge ticket Sc:ale Tare Wt. 36280 LB One Independence Hill Net Wei h 23500 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 11 75 TON Single Stream Recycl LB 15 000 176.25 0 00 176.25 A s Operating hours 7.00 AM to 5.00 PM 7 days a week J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685�/ p` NEXT HOLIDAY CLOSED SATURDAY, JULY 4,20 5 �'d U IN OBSERVANCE OF INDEPENDENCE DAY �� I TENDERED I QTY UNIT DESCRIPTION SIGNATURE FEE TOTAL \ 15 000 176.25 0.00 176.25 rSITE7 TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01150766 /1. Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/23/15 06/23/15 12:56 1316 111 14T 009306 Town of Brookhaven Waste Manag . One Independence Hill Farmingville NY 11738 7ca Gross Wt. 59780 LB Outbound - Charge ticket Tare Wt. 36280 LB ;„I,+ ollFnn I a QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1175 TON Single Stream Recycl 15 000 176.25 0.00 176.25 *®f S®U4�" /1. Operating hours 7.00 AM to 5.00 PM 7 days a week. `---� P 9 Y CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,2015<W" <C®'r IN OBSERVANCE OF INDEPENDENCE DAY COU01 1 SIGNATURE 176.25 TENDERED CHANGE CHECK NO. '-'�'�'..•.Nc'^'-'t'`..=,�wb"�'_ �_ " -7Y,--�� .a �•:^a=••=^<,e.,,:!sarr:�.d'v .ra.,s^5.�.`+r-+Y.�.+` - ..i•.4..... .�^�:f..-`�..1 TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 NO 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 d2d)s COMPANY: U-1 0 L_ I� SHIP DATE: COMMODITY SHIPPED: S LOOSE: �(} 1, (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `'' I > GROSS Q_)U� 5U 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 REGUL L10N- r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATUREj / TRANSPORTER TRANSPORTATION/FREIGHT CO. (` , ' L11 TRUCK NO. 1') LICENSE NO/STATE: TRAILER NO. 15 LICENSE NO/STATE: -1 HEREBY CERTIFY THAT THE' ABOVE'NAMED MATERIAL- WAS PICKED',UP AT THE GENERATOR .SITE LISTED DELIVERED WITHOUT INCIDENT TO THE DESTINATION. LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) ADDRESS: OVE,•AND THAT IT WAS HEREBY CERTIFY;THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO -THE BEST -OF MY KNOWLEDGE THE INF.ORMATION'PROVIDED - IS TRUE AND ACCURATE. RECEIVED BY:', . AUTHORIZED AGENT(PR'INT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN'TO TRANSPORTER- - YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR. SIGNATURE/DATE. DISPOSAL LOCATION TICKET, NO DESTINATION � � DISPOSAL LOCATION: ;�J r L1 } / 1 � 0 P �/ y ✓ N S DATE DELIVERED: ADDRESS: OVE,•AND THAT IT WAS HEREBY CERTIFY;THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO -THE BEST -OF MY KNOWLEDGE THE INF.ORMATION'PROVIDED - IS TRUE AND ACCURATE. RECEIVED BY:', . AUTHORIZED AGENT(PR'INT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN'TO TRANSPORTER- - YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR. SIGNATURE/DATE. DISPOSAL LOCATION TICKET, NO "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 2486 Scale 2 Gross Wt. 87440 LB Scale 1 Tare Wt. 37720 LB Net Weight 49720 LB UNIT DESCRIPTION TON OUTGO MSW SITE I TICKET I GRID WEIGHMASTER 01 01150686 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/23/15 06/23/15 09.32 0955 111 14T Uperating hours /'UU AM to b'UU NM t aayS a WeeK CLOSED HOLIDAYS - QUESTIONS CALL 631-734-i NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY —DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers COUN Ui�T�, � Outbound - Charge ticket TOTAL 000 000 TENDERED SIGNATURE \ SITE TICKET GRID WEIGHMASTER 01 01150686 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF /06/23/15 06/23/15 0932 0955 111 14T Scale 2 Gross Wt. 87440 LB Outbound - Charge ticket Scale 1 Tare Wt. 37720 LB Net Weight 49720 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2486 TON OUTGO MSW 0 000 000 000 000 ^22 S®U �y 1��w CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 /OUN11'Q�` IN OBSERVANCE OF INDEPENDENCE DAY 6� U `'� SIGNATURE 000 TENDERED CH CHECK NO. .. d�_ �Y.:R .. l • ��`.�� ,. - ; �-, ' r ; i �1 �-t; • --'- � �r+,�- : i^`^.r='.s'rv.-^ '. �- ✓rKi .r�;� ��-„�...�,. .-.,r�,N ;; j k..,rk..s-•�., _.. - - a - TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road • Islandia, NY 11749 NO (631) 342-9673 THIS MANIFEST IS FOR REFEREE BEING SHIPPED AND DOES NOT COMPANY: COMMODITY SHIPPED: LOOSE: BALES: (COUNT): 10579 PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR'MATERIAL S )UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS t fU �-F L � l� L0 J SHIP DATE: L J (CU YDS) TRUCK WEIGHT: (h� CC GROSS ) 1-120 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 -t GENERATOR AUTHORIZED AGENT(PRINT NAME) i �� (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO., 2 -- LICENSE NO/STATE: TRAILER NO. _ LICENSE.NO/STATE: I HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAL WAS PICKED UP AT THE -GENERATOR -SITE= LISTED- ABODE, AND THAT IT WAS ' DELIVERED WITHOUT INCIDENT TO THE DESTINATION -LISTED BELOW DRIVER:U {' ., (/-) (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: r,.)� I/# nrf /4 DATE DELIVERED: I ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HA•S'BEEN ACCEPTEDAND TOTHE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED IS TRUE AND ACCURATE. RECEIVED BY' AUTHORIZED AG.ENT(PRINT'NAME) ; KEY WHITE TO DISPOSAL. LOCATION - GREEN TO TRANSPOR.TE'R. YELLOW TO TRANSPORTER. PINK TO GENERATOR• GOLD TO GENERATOR SIGNATURE/DATE ' . DISPOSAL LOCATION'TICKET NO SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58460 Scale 1 Tare Wt. 36800 Net Weight 21660. QTY I UNIT DESCRI 1083 1 TONI Single Stream Recycl LB LB LB SITE TICKET GRID' 01 01150643 DATE IN DATE OUT TIME IN TIME OUT 06/23/15 06/23/15 07:00 07.14 Uperating hours i-UU AM to b:UU NM ! clays a weet. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-i NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 201 IN OBSERVANCE OF INDEPENDENCE DAY Outbound - Charge ticket 15 000 SIGNATURE 16245 W E IGH MASTER Steph VEHICLE ROLL OFF 11114TC 0 00 1 162.45 16245 TENDERED SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01150643 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/23/15 06/23/15 0700 0714 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58460 LB Outbound - Charge ticket Scale 1 Tare Wt. 36800 LB Net Weiqht 21660 LB OTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1083 TON Single Stream Recycl 15 000 162.45 000 16245 0 SUU,?* % Ff WYCIauIIV iwuia r VU nrvi w U UU r-rvi i uaya a wccn. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76851. NEXT HOLIDAY CLOSED' SATURDAY, JULY 4, 2015 /�®�� IN OBSERVANCE OF INDEPENDENCE DAY �+ SIGNATURE ,s,r - .,,_.,...irr-y:r.'� •. __ ._ yt�. .._ _.. - - - •,�.r._ .LLt __a,.-'*� t.�Z _ - •._,. ?�y?c�_,.,.1{—..:{, TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road NO 10586 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEJKNCE 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: L1 SHIP DATE: COMMODITY SHIPPED: LOOSE: I L f , (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ,3 _ I lG� �' GROSS '27 L'% �`� TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIEDiAND•PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRIN.T NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. V TRUCK NO. Z� LICENSE NO/STATE: TRAILER NO. 1ZJ LICENSE NO/STATE'. A b -1 2 L HEREBY, CERTIFY THAT'THE -ABOVE NAMED MATERIAL WAS PICKED UP -.AT THE -GENERATOR SITE L - ED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: e v (PRINT NAME) (SIGNATURE) 2 DESTINATION DISPOSAL LOCATION: •� �t`} .4 1 �v DATE DELIVERED: ADDRESS-. I HEREBY CERTIFY THAT THE ABOVE -MATERIAL. HAS BEEN,AC.CEPTED AND�TO THE'BEST OF MY•KNOWLEDGE THE INFORMATION PROVIDED IS TRUE.AND ACCURATE:.' - RECEIVE D - RECEIVED BY' AUTHORIZED. AGENT.(PRINT-NAME), KEY: WHITE'TO DISPOSAU.L'OCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER." PINK TO GENERATOR• GOLDTO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 71360 LB Scale 1 Tare Wt. 37820 LB Net Weiaht 33540 1 R SITE I TICKET GRID WEIGHMASTER 01 01150870 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/24/15 06/24/15 0700 07.10 111 14T Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1677 TON OUTGO.CONST-CONTRACT 0 000 000 0.00 000 N; sof S00 Ff 000 G Operating hours 7.00 AM to 5:00 PM 7 days a week je<►�—� �� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED: SATURDAY, JULY 4, 2015 C® IN OBSERVANCE OF INDEPENDENCE DAY �� SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009289 Trinity Transport 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. Scale 1 Tare Wt. Nat Wainht SIGNATURE SITE TICKET GRID 01 01150870 DATE'IN DATE OUTTIME IN TIME OUT 06/24/15 06/24/15 1 07:00 07.10 71360 LB Outbound - Charge ticket 37820 LB .i'trdn I R WEIGHMASTER Steph VEHICLE ROLL OFF 111 14T QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1677 TON OUTGO CONST -CONTRACT 0 000 000 0.00 000 �oF S 011 uperating nours vuu /Am to o-uu rm i aays a weeK,-,� , Nu w CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685!x/ ,I� NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 �eF C®� j �� IN OBSERVANCE OF INDEPENDENCE DAY V m l SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO 10587 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 }j COMPANY: i% `i1 I 1 �1 I_ l� SHIP DATE: ! f 7 COMMODITY SHIPPED:i� f LOOSE: J) .(CU YDS) BALES: (COUNT): TRUCK WEIGHT: 7 �� GROSS TARE J' Iy 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 26f 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. l i N 1 L V TRUCK NO. LICENSE NO/STATE: TRAILER NO. 1 2-5 LICENSE NO/STATE: HEREBY'CERTIFY THAT THE ABOVE •NAMED •MATERIAL WAS PICKED UP -AT THEGENERATOR SITE LISTED ABOVE, -AND THAT IT -WAS DELIVERED. WITHOUT INCIDENT TO THE'DESTINATION`LISTED'BEL•OW_ DRIVER: t; / (PRINT NAME) j (SIGNATURE) DESTINATION DISPOSAL LOCATION:_ DATE DELIVERED:. ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL.HAS•BEEN-ACCEPTED AND•TO•THE BEST OF MY.KNOWLEDGE THE"INFORMATION PROVIDED = IS TRUE AND ACCURATE. RECEIVED BY' AUTHORIZED AGENT(PRINT.NAME) KEY. WHITE.TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER•. PINK.TO'GENERAT.OR GOLD TO GENERATOR , SIGNATURE/DA•TE DISPOSAL 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. Scale 1 Tare Wt. 2755 1 TON I OUTGO MSW 91460 LB 36360 LB Operating hours 7.00 AM to 5.00 PM 7 days a weel".4 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-1 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SITE I TICKET GRID WEIGHMASTER 01 01150915 Steph ^- DATE IN DATE OUT TIME IN TIME OUT I VEHICLE ROLL OFF 06/24/15 06/24/15 0941 0954 1 11114TC rM f", W�l � 1<�_� 0 UN115 (4 Outbound - Charge ticket W1 1 1I 1 w I CHECK NO. I SIGNATURE SITE I TICKET GRID WEIGHMASTER 01 01150915 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/24/15 06/24/15 0941 09:54 11114TC Scale 2 Gross Wt. 91460 LB Scale 1 Tare Wt. 36360 LB Mat %Ahzinht r%Rinn I R Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2755 TON OUTGO MSW 0 000 000 0.00 000 Operating hours 7.00 AM to 5,00 PM 7 days a week jd V �' CLOSED HOLIDAYS - QUESTIONS CALL 631-734-i685� NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 "'1 C®�]�q IN OBSERVANCE OF INDEPENDENCE DAY umv SIGNATURE - ✓" y iY =z: `—�:�r";:-' � ,'. :'v; � - �`� ,�.. _ - —-.:�`:,;r''=?`f"•.,r_t�r-� �lr?-�. �'.:,,�� j4 ..,_ .+�ly �.r.. ,.r c1,.. :, TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO 10581 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFER CE PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO R MAT RIALS BEING SHIPPED -AND DOES N T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS �{ COMPANY: D W Tv L) SHIP DATE: COMMODITY SHIPPED: M S L__) LOOSE: U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �� i �` tf C) GROSS TARE ` UU 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 FORITRANSPORTATION ACCORDING TO APPLICABLE REGULATION. r r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. /\) 1 t �/ TRUCK NO. LICENSE NO/STATE: TRAILER NO. • 1 -11 1 LICENSE NO/STA'TE: I HEREBY CERTIFY THAT THE ABOVE- NAMED. MATERIAL. WAS PICKED -UP AT THEGENERATOR SITE'LIS DELIVERED WITHOUTINCIDENT- TO THE.DESTWAT!ON LIS•TED,BELOW --,. DRIVER:t- (PRINT NAME) DESTINATION DISPOSAL LOCATION: U () V t� f`-1 ) /� S' ADDRESS (SIGNATURE) DATE DELIVERED: E. AND THAT .IT WAS' �I I HEREBY CERTIFY THAT THE ABOVE MATERIAL=HAS'BEEN-ACCEP.T.ED AND TO-T.HE".BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED IS TRUE AND ACCURATE:. ' RECEIVED'BY: .AUTHORIZED'AGENT(PRINT NAME) , KEY WHITE TO DISPOSAL LOCATION' GREEN TO TRANSPORTER - YELLOW TO TRANSPORTER. PINK TO GENERATOR .. GOLD TO.GENERATOR SIGNATURE/DATE" DISPOSAL, LOCATION TICKET NO '. '"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 2458 Scale 2 Gross Wt. 85400 LB Scale 1 Tare Wt. 36240 LB Net Weight 49160 LB UNIT DESCRIPTION TON OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 01150994 Steph DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF 06/24/15 06/24/15 1 1302 1 1313 111 14T uperatmg nours vuu Ann to 5•uu rlvl t aays a weeK� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-% NEXT HOLIDAY CLOSED' SATURDAY, JULY 4, 201 IN OBSERVANCE OF INDEPENDENCE DAY "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers ji C®UNT�,� Outbound - Charge ticket ME 1 11 1 11 1 11 111 I CHECK NO. I SIGNATURE SITE I TICKET GRID WEIGHMASTER zv 01 01150994 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/24/15 06/24/15 13 02 13 13 111 14T Scale 2 Gross Wt. 85400 LB Outbound - Charge ticket Scale 1 Tare Wt. 36240 LB Net Weight 49160 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2458 TON OUTGO MSW 0 000 000 0.00 0.00 �®f S®o,)j, . ., r.,,uuy ....,. .,.,,..... .. .... ... ....�.. .....,.,-� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-1685./ NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015N�T p�'�(IN OBSERVANCE OF INDEPENDENCE DAY Ui11 f , SIGNATURE �', .-. `�s:�•..- __ .. _ - -• - --- - =-..�.:--� •z=.^.=.r•m.=v �.±'-'-fat" - _ "'...- ...�,-_ i. `'4-.cc-�*."r�. r,Y..• = TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 NO 10582 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO.OR Ni' ERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: lo I_1 1 SHIP DATE: COMMODITY SHIPPED: LOOSE: L] U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �ti ` J, GROSS TARE �6NET 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, CLASSIFIEDi AND PACKAGED, AND IS IN -PROPER CONDITION FOR TR N P.O%RTATION.A000RDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FREIGHT CO.' TRUCK NO. 1 TRAILER NO. i' TRANSPORTER t/Q f /\ LICENSE NO/STATE: LICENSE .NO/STATE- HEREBY CERTIFY THAT THE ABOVE NAMED' MATERIAL WA'S�PICKED,UP AT THE"•GENERATOR. SITE, LISTED:AB40VE, AND;THAT..IT WAS- DELIVERED WITHOUT. INCIDENT TO THE DESTINATION LISTED BELOW., 7DRIVER: 0 (PRINT NAME) (SIGNATURE) DESTINATION-. Jt%fi��f�T. 5 DISPOSAL LOCATION:' '. . - DATE DELIVERED: ' ADDRESS: I HEREBY CERTIFY -THAT THE ABOVE MATERIAL HAS BEEN -ACCEPTED AND TO THE BEST OF MY'KNOWLEDGE-THE INFORMATIOWPROVIDEG, IS TRUE AND ACCURATE: - RECEIVED BY: AUTHORIZED AGENT(P.RINT NAME) KEY. WHITE-TO:DISPOSAL.LOCATION GREEN TO'TRANSPORTER. YELLOW TO TRANSPORTER. PINK TO GENERATOR* GOLD TO GENERATOR, SIGNATURE/DATE. DISPOSAL -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. Scale 1 Tare Wt. KIM %A/-;-kf 77500 LB 35240 LB A77an 10 SITE I TICKET GRID' WEIGHMASTER 01 01151195 Pat H DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/15 1 06/25/15 11:07 1 1145 1 11108TC Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21 13 TON OUTGO MSW 0 000 000 000 000 ®F S®j,P -40 ,%� . Ff ®� �®� Operating hours 7.00 AM to 5:00 PM 7 days a ween. CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 `4r" IN OBSERVANCE OF INDEPENDENCE DAY ® UN 11 ", "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. AIM %A/ -;-k+ SIGNATURE 77500 LB 35240 LB A77an I R SITE TICKET GRID WEIGHMASTER r 01 01151195 Pat H DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/15 06/25/15 11.07 11 45 11108TC Outbound - Charge ticket QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21 13 TON OUTGO MSW 0 000 000 000 0.00 �t S ®0, ®� �®� Operating hours 7.00 AM to 5.00 PM 7 days a week% j�►W CLOSED HOLIDAYS - QUESTIONS CALL 631 -734 -7 -16 - NEXT HOLIDAY CLOSED SATURDAY, JULY 4,2015 IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION, 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 NO OJVT 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: t l SHIP DATE: f COMMODITY SHIPPED:`l S 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 ORANY 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. r" GENERATOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTER (SIGNATURE) TRANSPORTATION/FREIGHT CO. ' TRUCK NO. �f'Z`;' �'�'� �' LICENSE NO/STATE: i C 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: ADDRESS 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) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL 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. 78560 LB Scale 1 Tare Wt. 37760 LB Net Weight 40800 LB QTY. UNIT DESCRIPTION 2040 TON OUTGO MSW SITE �! TICKET GRID WEIGHMASTER 01 01151194 Pat H DATE INI DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/15 06/25/15 11.06 11.43 11114TC Operating hours 7.00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-"v NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket RATE EXTENSION 0 000 0.00 in FEE TOTAL 0-0u-- 0 00 000 TENDERED SIGNATURE \ SITE I 11TICKET GRID WEIGHMASTER 01 01151194 1 1 Pat H DATE IN II DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/15 1 06/25/15 11.06 1 11 43 11114TC Scale 2 Gross Wt. 78560 LB Scale 1 Tare Wt. 37760 LB Net Weight 40800 LB QTY UNIT DESCRIPTION 2040 1 TON OUTGO.MSW uperaung nours vuu HM io o-uu rlvl t aays a weel� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685// NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 `�® �1►" IN OBSERVANCE OF INDEPENDENCE DAY m SIGNATURE Outbound - Charge ticket RATE EXTENSION FEE TOT 0 000 000 0.00 0.00 IN TENDERED ----ZHANGE TRINITY TRANSPORTATION CORPO 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERN( E PURPOSES ONLY. GENERATOR DOES P BEING SHIPPED AND DOES N ASSUME ANY LIABILITY ASSOCIATED WITI COMPANY: LA, 1 L. I o L- \`,�_ COMMODITY SHIPPED: )A S\,, LOOSE: i) c) (CU YDS) BALES: (COUNT): TRUCK WEIGHT: =' �t�^ GROSS `1 7 7 TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES.NOT CONT APPLICABLE STATE LAW, IS NOT.HAZARDOUS-WASTE AS DEFINED BY 40. CFR DESCRIBED, CLASSIFIED AND PACKAGED, AND IS *IN PROPER CONDITION F( GENERATOR AUTHORIZED AGENT(PRINT NAME)' TION )T TAKE POSSESSION OR TITLE OF ANY CARGO O MATER THE SHIPMENT OF SUCH MATERIALS / SHIP DATE: 6 Z 5 IN FREE LIQUID AS DEFINED BY 40. CFR PART 260 10,OR ANY ART 261 OR ANY APPLICABLE STATE LAW, -HAS BEEN PROPERLY I TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. V (SIGNATURE) TRANSPORTER. r TRANSPORTATION/FREIGHT CO. LI TRUCK NO. 2-, LICIT NSE NO/STATE: TRAILER NO. I i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED -MATERIAL WAS PICKED UP II T THE GENERATOR SITE LIST DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: e. l (PRINT NAME) DISPOSAL LOCATION: ADDRESS: DESTINA (SIGNATURE) DATE DELIVERED: OVE, AND THAT, IT WAS I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED . IS TRUE AND ACCURATE. II RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 55780 LB Scale 1 Tare Wt. 35380 LB Net Weight 20400 LB QTY UNIT I DESCRIPTION 10.20 TON I Single Stream Recycl SITE TICKET GRID WEIGHMASTER 01 01151103 Pat H DATE INI DATE OUT I TIME IN I TIME OUT I VEHICLE I ROLL OFF 06/25/15 1 06/25/15 1 0709 1 08.21 1 11 108T Outbound - Charge ticket RATE EXTENSION I FEE I TOTAL 15.000 t -15300 1 TOT- 153.00 Operating hours 7.00 AM to 5:00 PM 7 days a week V CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685, NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 ��C® UNT, IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 55780 LB Scale 1 Tare Wt. 35380 LB Net Weight 20400 LB QTY UNIT DESCRIPTION 10.20 TON Single Stream Recycl 15300 SITE I IITICKET I GRID WEIGHMASTER 01 01151103 Pat H DATE INI+ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/151 1 06/25/15 0709 08.21 11 108T Outbound - Charge ticket 15 000 1 15300 1 000 1 15300 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. // '� 15300 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 `�/�® `�V TENDERED IN OBSERVANCE OF INDEPENDENCE DAY U�IT�, SIGNATURE TRINITY TRANSPORTATION CORPO 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENC URPOSES ONLY. GENERATOR DOES P BEING SHIPPED AND DOES NOT A SUME.ANY LIABILITY ASSOCIATED WITI COMPANY: 0 LA, ( U L )� f� c COMMODITY SHIPPED: S S A e C t'ir LOOSE: () (' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: L 6� '7 J GROSS 3 y TARE NET TION a :)T TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS THE SHIPMENT OF SUCH MATERIALS / SHIP DATE: 2_5 I J I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,DOES NOT. CONTAIN.FREE LIQUID AS DEFINED BY 40 CFR -PART 260.1.0 OR ANY APPLICABLE STATE LAW, IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR.ANY APPLICABLE STATE.:AW, HAS BEEN PROPERLY, DESCRIBED, CLASSIFIED AND:PACKAGED, AND IS IN'PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION: GENERATOR AUTHORIZED AGENT(PRINT NAME) TRANSPORTER TRANSPORTATION/FREIGHT CO. T (SIGNATURE) TRUCK NO'." 41 LICENSE NO/STATE: TRAILER NO. ).0 -I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UPI T THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED. BELOW 11 DRIVER: t ( r r < (PRINT NAME) DESTINA' DISPOSAL LOCATION: ADDRESS: - "` "(SIGNATU ' DATE DELIVERED: Ir�'�_ s .I HEREBY CERTIFY THAT THE.ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION'PROVIDED IS TRUE AND ACCURATE: II RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58900 LB Scale 1 Tare Wt. 37880 LB Net Wei ht 21020 LB QTY. I UNIT I DESCRIPTION 1051 TON I Single Stream Recycl SITE II TICKET GRID WEIGHMASTER 01 01151102 Pat H DATE INDATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/25/15 06/25/15 1 0707 08.20 111 14T 0001 r. 1.' II , Outbound - Charge ticket RATE 15 000 Operating hours 7.00 AM to 5.00 PM 7 days a week? "�► U �� J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685�� NEXT HOLIDAY CLOSED SATURDAY, JULY 4,2015"C®j�'�1►" IN OBSERVANCE OF INDEPENDENCE DAY ulfll . XTENSION FEE TOTAI 15765 0 00 15765 I TENDERED I SIGNATURE **DUPLICATE TICKET** SITE I IITICKET GRID WEIGHMASTER v SOUTHOLD TOWN DEPT SOLID WASTE 01 01151102 Pat H 6155 Coz Lane, PO Box 962 DATE IN II DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/25/15 06/25/15 0707 08.20 111 14T 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58900 LB Scale 1 Tare Wt. 37880 LB Net Weight 21020 LB QTY I UNIT I DESCRIPTION . 1051 1 TON I Single Stream Recycl Operating hours 7,00 AM to 5.00 PM 7 days a week" CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY Outbound - Charge ticket RATE EXTENSION FEE TOTAI 15 000 15765 000 15765 SIGNATURE N 157 65 TENDERED NO. TRINITY TRANSPORTATION CORPO 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY. GENERATOR DOES h BEING SHIPPED AND DOES NOT SSUME ANY LIABILITY ASSOCIATED WITI COMPANY: C LA -1 Uy�L COMMODITY SHIPPED: ss K_e C LOOSE: 1 U ( YDS) DS) BALES: (COUNT): TRUCK WEIGHT: 00 GROSS '7� TARE t NET TION NO. DT TAKE POSSESSION OR TITLE OF ANY CARGO OR -MATERIALS THE SHIPMENT OF SUCH MATERIALS SHIP DATE: 2 ) S �_ii... r- .--__ __11 I HEREBY.CERTIFY THAT THE, ABOVE NAMED MATERIAL DOES NOT*CONTAIN FREE LIQUID) DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE'LAW JS 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) TRANSPORTER;- TRANSPORTATION/FREIGHT RANSPORTER:- TRANSPORTATION/FREIGHT CO. ) l I /_,+ � _Q1.1 l (SIGNATURE) - TRUCK NO. �� LICENSE NO/STATE: If TRAILER NO. `? 3 -LICENSE NO/STATE: I HEREBY CERTIFY, THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITELISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW t DRIVER: (PRINT NAME) DISPOSAL LOCATION: ' V I' t.., �✓ ADDRESS: [HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND IS TRUE AND ACCURATE, RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR (SIGNATURE) 11 DATE DELIVERED: BEST OF MY-KNoWLEDGE THE INFORMATION PROVIDED SIGNATURE/DATE LOCATION TICKET NO —DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 - Ic 009304 Winters Brothers Scale 2 Gross Wt. Scale 1 Tare Wt. Net Weight QTY UNIT 21 15 1 TONI OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 01151479 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/26/15 06/26/15 13.20 13:28 111 14T 79600 LB 37300 LB 42300 LB Operating hours 7,00 AM to 5,00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-1 NEXT HOLIDAY CLOSED. SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY —DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers cou v Outbound - Charge ticket IN 1 11 III 1 11 AM SIGNATURE SITE I TICKET GRID WEIGHMASTER 01 01151479 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/26/15 06/26/15 13.20 13:28 111 14T Scale 2 Gross Wt. 79600 LB Scale 1 Tare Wt. 37300 LB Net Weiaht 42300 LB Outbound - Charge ticket QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.15 TON OUTGO MSW 0 000 000 000 000 rsot%e /1.... �..�.....L, 7.1%(1 A i.. •f)f% '1 !Y S \ 1 \ l CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7 85.� Af NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 ��C® IN OBSERVANCE OF INDEPENDENCE DAY V IVT1 I SIGNATURE 000 TENDERED CHANGE CHECK NO. TRINITY TRANSPORTATION CORPORATION 214 BI .c - ydenburgh Road Isandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE BEING SHIPPED AND DOES NOT AS COMPANY: COMMODITY SHIPPED: LOOSE: BALES: (COUNT): TRUCK WEIGHT: NO. 0860 POSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO E ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS 0 U-1 F I Q) L 1) SHIP DATE: Pi 00 (CU YDS) 77660 GROSS 37360 TARE '�,P3CC) NET )R MATERIALS 2 6) is 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 PAR�T W -OE AN.Y_APPLICABLE STATE -LAW, HAS BEEN PROPERLY DESCRIBED. CLASSIFIED AND PACKAGED..AND IS IN PROPER CONDITION FOR T43ANSPORTATI6N-ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT'NAME) (SIGNATURE}..__` TRANSPORTER TRANSPORTATION/FREIGHT CO. 13 TRUCK NO. 2-L/ICENSE NO/STATE: TRAILER NO. 1 -2-- LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED A AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. SS DRIVER: _ l (PRINT NAME)= (SIGNATURE) f. v DES 1 ATION DISPOSAL LOCATION:' i( / j t [- J U 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 01151426 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/26/15 06/26/15 1055 1115 111 14T 009306 Town of Brookhaven Waste Manag . One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 56380 LB Outbound - Charge ticket Scale 1 Tare Wt. 36160 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1011 TON Single Stream Recycl 15 000 151 65 000 151.65 15 000 �®f S0114 Operating hours 7,00 AM to 5.00 PM 7 days a week �� .�V CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685;��I NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 COUNTI IN OBSERVANCE OF INDEPENDENCE DAY vv SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. Scale 1 Tare Wt. AI -1 %AI-:-L- SIGNATURE SITE -TICKET GRID WEIGHMASTER 01 01151426 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/26/15 06/26/15 10:55 1 1115 111 14T 56380 LB Outbound - Charge ticket 36160 LB nnnnn 10 QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1011 TON Single Stream Recycl 15 000 151 65 000 151 65 Operating hours 7.00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685® NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 0859 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE Pt�URPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO O MATERIALS BEING SHIPPED AND DOES NOT ASS 3ME/ -ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS jv COMPANY: L4 1 o U Ll' SHIP DATE: COMMODITY SHIPPED: t � • � . F -le C 1 LOOSE: U U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 3l� l 0 TARE (90c;00 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 DEF,INED.BY X40 CF A -26rOT NY—APPL[CABLE STATE -LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER-CONDITION:FO 1C0"6PP._LICABLE.REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTATION/FREIGHT CO_. TRUCK NO. G- 5 TRANSPORTER lc- i 1-i I I 1\ LICENSE NO/STATE: J� TRAILER NO. �T, �i LICENSE NO/STATE: /_\ )) I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED flVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: -IbC (PRINT NAME) rr (SIGNATURE) DESTINATION 13( o o ilt1/A �� # DISPOSAL LOCATION:' DATE DELIVERED: . ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEENsACCEPTED'AND ATO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED. BY: AUTHORIZED AGENT(PRINT NAME) KEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHQ,L,D TOWN DEPT SOLID WASTE 01 01151339 Dan 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/26/15 06/26/15 06.59 0713 111 14T 009289 Trinity Transport REFERENCE. 214 Blydenburg Road Islandia NY 11749 Scale 2 Gross Wt. 64620 LB Outbound - Charge ticket Scale 1 Tare Wt. 36340 LB QTY. UNI DESCRIPTION RATE EXTENSION 1414 TON OUTGO CONST -CONTRACT 0 000 0.00 4 SOF SU& C1* Operating hours 7.00 AM to 5.00 PM 7 days a week J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685® NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 C® IN OBSERVANCE OF INDEPENDENCE DAY S m SIGNATURE I TENDERED I SITE TICKET GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01151339 Dan 6155 Coz Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF Cutchogue, NY 11935 06/26/15 06/26/15 06 59 07 13 11114TC 009289 Trinity Transport 214 Blydenburg Road Islandia'NY 11749 Scale 2 Gross Wt. 64620 LB Scale 1 Tare Wt. 36340 LB QTY 'UNIT DESCRIPTION 1414 TON OUTGO CONST -CONTRACT if SOU Outbound - Charge ticket RATE EXTENSION FEE TOl 0 000 000 000 000 Operating hours 7.00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76'85®�f — NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 �'0 �®rP IN OBSERVANCE OF INDEPENDENCE DAY ► NTS SIGNATURE 1 0.00 I TENDERED 1 TRINITY TRANSPORTATION CORPORATION 1 2 t4 Blydenburgh Road NO. 0858 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 f� COMPANY: VOLA G t L li SHIP DATE: 1 2 G 15 COMMODITY SHIPPED: C S_ LOOSE: I : (CU YDS) BALES: -(COUNT): TRUCK WEIGHT:,_!G3 GROSS r6 _?%41 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.ORANY 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) .TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. > L NO/STATE: (SIGNATURE) TRAILER NO. k 2 5 LICENSE NO/STATE: _ I HEREBY .CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIST&D'ABOVE, AND'THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) ' (SIGNATURE) DISPOSAL LOCATION:, r ADDRESS: DESTINA �I DATE DELIVERED:-- I ELIVERED:- I HEREBY CERTIFY THAT THE ABOVE'MATERIALHAS. BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO —DUPLICATE TICKET"" UNIT SOUTHOLD TOWN DEPT SOLID WASTE RATE EXTENSION 6155,Cox L&ne, PO Box 962 952 Cutchogue, NY 11935 Single Stream Recycl 009306 Town of Brookhaven Waste Manag 000 14280 One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 54320 Scale 1 Tare Wt. 35280 Net Weight 19040 QTY UNIT DESCRI 952 TON Single Stream Recycl CLOSED HOLIDAYS - QUESTIONS CALL 631-7 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, IN OBSERVANCE OF INDEPENDENCE DAY SITE TICKET GRID WEIGHMASTER 01 01151679 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE' =OLL OFF 06/27/15 06/27/15 1 10:23 11.05 11108TC LB LB LB Outbound - Charge ticket 15 000 SIGNATURE NI 142.80 0-00- --- 1 142.80 I TENDERED I "DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01151679 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN I TIME MUT VEHICLE ROLL OFF 06/27/15 06/27/15 10:23 11:05 11 108T 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 7 Scale 2 Gross Wt. 54320 LB Outbound - Charge ticket Scale 1 Tare Wt. 35280 LB Net Weight 19040 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 952 TON Single Stream Recycl 15 000 14280 000 14280 S o& GCIL vNciauiiy I1UU10 / UU nrvi LU vv ivi , UUYQ a vv-- CLOSED HOLIDAYS - QUESTIONS CALL 631-73447685,:P, NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION 214'Blydenburgh Road No. 0867 Islandia, NY 11749 t (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: r COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: -GROSS ?� 5 �U TARE '2?0e10 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 TRA SPORT2TION-A,C'CORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT.NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. i LICENSE NO/STATE: TRAILER NO. ) LICENSE NO/STATE:1 }�) Mfr I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE -GENERATOR SITE LISTED ABOVE, AND THAT IT, WAS DELIVERED-WITHOUT.INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: �'` ' I f %� +� ��✓ - __ l (PRINT NAME) (SIGNATURE)'_ --- DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED - . IS TRUE 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 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 56520 LB Scale 1 Tare Wt. 37760 LB Net Weight 18760 LB QTY UNIT DESCRIPTION 938 TON Single Stream Recycl SITE TICKET. GRID WEIGHMASTER 01 01151666 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/27/15 06/27/15 0958 1 1011 11114TC Outbound - Charge ticket -15000 -1 " 140.70 ®f 5 010 operating hours t,uu Am todays a wee � �L CLOSED HOLIDAYS - QUESTIONS CALL 631-734-768921 ~-�\ NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 i c®j�p� IN OBSERVANCE OF INDEPENDENCE DAY UI�1� t SIGNATURE [�IiI�1�iCli�li] I TENDERED I SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01151666 Dan 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF .. 06/27/15 06/27/15 0958 1011 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 56520 LB Outbound - Charge ticket Scale 1 Tare Wt. 37760 LB Net Weight 18760 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 938 TON Single Stream Recycl 15 000 14070 000 140.70 ®fSOU'. � Ff � ! CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY v c® UNV y SIGNATURE TRINITY TRANSPORTATION CORPORATION "214�lydenburgh Road Islandia, NY 11749 (631) 342-9673 NO. 0862 THIS MANIFEST IS FOR REFEREqGE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO QR.MAjERIALS BEING SHIPPED AND'DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �� V �h. 1 �-� (i L 1� SHIP DATE: Z (" I'l COMMODITY SHIPPED: LOOSE: (� (CU YDS) I BALES: (COUNT): TRUCK WEIGHT: '�' �c7� GROSS 3 7 7(0Q TARE 1760 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.OR7ANY A`PPL'ICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED -AND PACKAGED, AND IS IN -PROPER CONDITION FOR TRA4 PORTAnoigN AL`�OR•DING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRIN•T NAME) ' (S TRANSPORTER TRANSPORTATION/FREIGHT CO:" I TRUCK NO. 22-5 LICENSE_ NO/STATE: 1 / TRAILER NO: �'J LICENSE NO/STATE: i i t Z 6 7 G 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LIS.TED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: :2—LP 7 (PRINT NAME)" (SIGNATURE) DESTINATION. DISPOSAL LOCATION: —� i' //U `� 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) KEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SITE TICKET GRID **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01151599 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT Cutchogue, NY 11935 06/27/15 06/27/15 0700 1 0751 009306 Town of Brookhaven Waste Manag REFERENCE — One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 53840 LB Outbound - Charge ticket Scale 1 Tare Wt. 35380 LB Net Wei ht 18460 LB QTY UNIT DESCRIPTION RATE EXTENSION 9.23 TON Single Stream Recycl 15 000 13845 �®f S®U4� . 49, Operating hours 7.00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 c® � IN OBSERVANCE OF INDEPENDENCE DAY 1� 1/111 1 � M� SIGNATURE WEIGHMASTER Dan VEHICLE 11 108T ROLL OFF 0 00 1 13845 13845 TENDERED SITE TICKET GRID WEIGHMASTER T **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01151599 Dan 6155 Coit Lane, PO Box 962 DATEIN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 06/27/15 06/27/15 0700 0751 11 108T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 53840 LB Outbound - Charge ticket Scale 1 Tare Wt. 35380 LB Nat Wainht 18460 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 9.23 TON Single Stream Recycl 15.000 13845 0.00 138.45 ®� S010 Operating hours 7*00 AM to 5,UU F'M i days a weeK`- CLOSED HOLIDAYS - QUESTIONS CALL 631-734,7i1w NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road, 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: -�� - f SHIP DATE: C -j f / ) COMMODITY SHIPPED: _s_ LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT:GROSS TARE I (SUCad 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(PRINTNAME) �(SIGNA�TUREI r TRANSPORTER TRANSPORTATION/FREIGEE HT CO. TRUCK NO. 7 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: ADDRESS 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) KEY. WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER _ YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SOUTHOLD TOWN DEPT SOLID WASTE 6155,Cox Ldne, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt. 87600 LB Scale 1 Tare Wt. 36680 LB Net Weight 50920 LB OTY. UNIT DESCRIPTION 2546 TON OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 01151598 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/27/15 1 06/27/15 06 59 07 30 11114TC Operating hours 7.00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY SOUTHOLD TOWN DEPT SOLID WASTE 6155 Coit Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket RATE EXTENSION 0 000 0 00 w FEE 000 em 1 Me SIGNATURE \ SITE I TICKET I GRID WEIGHMASTER 01 01151598 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/27/15 06/27/15 06 59 07.30 11114TC Scale 2 Gross Wt. 87600 LB Scale 1 Tare Wt. 36680 LB Net Weight 50920 LB QTY UNIT 'DESCRIPTION 2546 TON OUTGO.MSW Outbound - Charge ticket RATE EXTENSION 0 000 000 Operating hours 7:00 AM to 5:00 PM 7 days a week —,4;% CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 �e, IN OBSERVANCE OF INDEPENDENCE DAY v t�1� SIGNATURE Im [1)(111] 1 11 1 11 TRINITY TRANSPORTATION CORPORATION 2.14 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEREN BEING SHIPPED AND DOES NOT COMPANY: COMMODITY SHIPPED: LX9lT0l:i* BALES: (COUNT): POSES ONLY.'GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS li i W () i_ I) SHIP DATE: G 1 �4 S Li O t) (CU YDS) TRUCK WEIGHT: F76 GROSS 3�� o 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,.CLASS IFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) 1 TRANSPORTATION/FREIGHT"CO. t N I TRUCK NO. 44�� 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 ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW /l DRIVER:i� ( 2 RINT NAME) (SIGNATURE) DESTINATION r DISPOSAL LOCATION: N -T 1� U` DATE DELIVERED. Rlllj;j:m91 \k 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) KEY- WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY -11935 - 009304 Winters Brothers 2047 Scale 2 Gross Wt. 77680 LB Scale 1 Tare Wt. 36740 LB Net Weight 40940 LB UNIT DESCRIPTION TON OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 01152310 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/15 06/29/15 14.21 1432 11114TC Operating hours 7,00 AM to 5.00 PM 7 days a week'-� CLOSED HOLIDAYS - QUESTIONS CALL 631-734-1 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 201 IN OBSERVANCE OF INDEPENDENCE DAY SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket C0 ;O, -®r UIU� � fil-' 000 TENDERED SIGNATURE SITE TICKET GRID WEIGHMASTER 01 01152310 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/15 06/29/15 14.21 14.32 11114TC Scale 2 Gross Wt. 77680 LB Scale 1 Tare Wt. 36740 LB Maf Wainht 4044n I R Outbound - Charge ticket QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2047 TON OUTGO.MSW 0.000 000 0.00 000 �o� °U-� Operating hours 7,00 AM to 5'00 I'M i clays a weeKjk �n v- av CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685!/ NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 �e �� IN OBSERVANCE OF INDEPENDENCE DAY �+Ia� � SIGNATURE 1 _ �.. r.. �?�:; ^�'.��j •fi-tir � •' ' .^-::r'•ti-. _i,.. .. �".^ ',1'"Y: �' `]__�,•__- �`}:'t.r'.:..,s...�-i,,:/; rt4'w;-'�-'ti_ ,w..r-:� .- �' TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road Islandia, NY 11749 NO (631) 342-9673 10577 THIS MANIFEST IS FOR REFERENC- PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CAR( BEING SHIPPED AND DOES NOTSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: LA -1 1-1 v L_TI) SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �7C �C> GROSS TARE �I�7Ll� NET OR MATERIALS 21 1 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 PROFERL r DESCRIBED,, CLASSIFIED AND PACKAGED. AND IS IN PROPER CONDITION FOR TRAN�S�P TATION ACCORDING.TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)" TRANSPORTER TRANSPORTATION/FREIGHT CO. rJ I LI"/ TRUCK NO. � LICENSE NO/STATE: TRAILER NO. i LICENSE NO/STATE HEREBY CERTIFY THAT THE ABOVE;NAMED MATERIAU WAS PICKED UP AT THE GENERATOR SITE LIST "ABOVE', AND THAT IT'WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: =oc (PRINT NAME) (SIGNATURE) DESTINATION ,1, Atli y ( 11 DISPOSAL LOCATION. U Av A j DATE DELIVERED: ADDRESS: I -HEREBY CERTIFY THAT THE ABOVE'MA-TERIAT:HAS BEENWACCEPTED AND TO"THE' BEST OF -MY KNOWL'ED'GE THE INFORMATION PROVIDED - IS TRUE AND.A000RATE' RECEIVED BY:. _ AUTHORIZED AGENT(PRINT NAME).' KEY. WHITE TO DISPOSAL 1OCATION' GREEN'TO TRANSPORTER YELLOW TO TRANSPORTER - PINK TO GENERATOR' GOLD TO GENERATOR SIGNATURE/DATE" DISPOSAL LOCATION TICKET -NO-• "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 615& Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Scale 2 Gross Wt Scale 1 Tare Wt. 77560 LB 35200 LB d7ZRn I R SITE TICKET, GRID WEIGHMASTER 01 01152199 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/15 06/29/15 10:25 10.47 11114TC Outbound - Charge ticket OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21.18 TON OUTGO MSW 0 000 000 000 000 000 SOU, �pir S OU, SOF Operating hours 7.00 AM to 5.00 PM 7 days a week �v CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685® NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015 ��C® IN OBSERVANCE OF INDEPENDENCE DAY "��! "*DUPLICATE TICKET*" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SIGNATURE SITE TICKET GRID WEIGHMASTER 01 01152199 EXTENSION Dan DATE IN DATE OUT TIME IN I TIME OUT VEHICLE ROLL OFF 06/29/15 06/29/15 REFERENCE 10:25 1047 111 14T WRiN 000 000 000 Scale 2 Gross Wt. 77560 LB Outbound - Charge ticket Scale 1 Tare Wt. 35200 LB nle4 %Al -i hf AWARn I R QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 21 18 TON OUTGO MSW 0 000 000 000 000 �pir S OU, C Operating hours 7.00 AM to 5.00 PM 7 days a week. P 9 Y CLOSED HOLIDAYS -QUESTIONS CALL 631-734 768Isw NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 2015IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE -"' �"rl - -'y a'_ � — • � h !'�-:i!^ „+ - , - •-w-` - . �: h• .• j�k � �{ i2, e .. i � _. , -b�Y "�:t`r ` ,:+, t�' '. �:fiS�:� � •t:.. �.rY%� '?.^'%�%.'<,' w�^�� :1r•.; -�-. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 NO 10576 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 7 n' COMPANY: .�OLATPI L L D SHIP DATE: COMMODITY SHIPPED: LOOSE: ) G 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: % U GROSS TARE �-I 3G0 NET 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 CONDITIOWFOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) �t (SIGNATUREI TRANSPORTATION/FREIGHT CO. TRANSPORTER I TRUCK NO. LICENSE.-NO/STATE: TRAILER NO. I '� G} LICENSE NO/STATE:_ HEREBY CERTIFY THAT THE ABOVE. NAME& MATERIAL'.WAS; PICKED -UP .AT THE GENERATOR SITE- LISTED ABOV DELIVERED WITHOUT INCIDENT TO THE DESTINATIOMLISTED BELOW DRIVER: / (PRINT NAME) /- •(SIGNATURE) - DESTINATION' Z_. DISPOSAL LOCATION: ( i U.A. 1 DATE DELIVERED: ADDRESS:. .AND THAT ,IT WAS HEREBY CERTIFYTHA-T•THE ABOVE--MATERIALHAS,BEEN:ACCEPTED AND TO THE BEST -OF MY"KNOWLEDGE THE INFORMATION PROVIDED. -- IS TRUE. AND ACCURATE: RECEIVED BY:, AUTHORIZED AGENT(.PRINT'NAME-)'.- KEY: WHITE TO DISPOSAL.LOCATION - GREEN TO TRANSPORTER . YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE- DISPOSAL LOCATION TICKET -NO "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6156 Cox 61ne, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers 2415 Scale 2 Gross Wt. 84840 LB Scale 1 Tare Wt. 36540 LB Net Weight 48300 LB UNIT DESCRIPTION TON I OUTGO MSW SITE TICKET GRID WEIGHMASTER 01 01152126 Dan DATE IN I DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/15 1 06/29/15 0700 07.14 11114TC Operating hours 7'00 AM to 5'00 PM 7 days a weekl^dna CLOSED HOLIDAYS - QUESTIONS CALL 631-734-76855/ NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015"® ��►" IN OBSERVANCE OF INDEPENDENCE DAY UNTI5 ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket mm tx1tNNUN F rtt 000 o-0-6- l �� rI� SIGNATURE SITE I TICKET GRID WEIGHMASTER 01 01152126 Dan DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/29/15 06/29/15 0700 0714 111 14T Scale 2 Gross Wt. 84840 LB Scale 1 Tare Wt. 36540 LB Net Weight 48300 LB QTY I UNIT DESCRIPTION 2415 1 TONI OUTGO MSW Outbound - Charge ticket RATE EXTENSION FEE TOT 0 000 000 000 0.00 I holm 000 it Rev I 1h rtgll kbill I Operating hours 7.00 AM to 5:00 PM 7 days a week ��►\1 J CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685. NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 �C®'/<<,"�y IN OBSERVANCE OF INDEPENDENCE DAY V NT1 1 !* -p SIGNATURE m Y { TRINITY TRANSPORTATION CORPORATION • 214-:Blydenburgh Road No. 0863 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENC URPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT A UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT -OF SUCH MATERIALS -) COMPANY: ( CJ i t C� L- �i SHIP DATE: COMMODITY SHIPPED: LOOSE: I OU (CU YDS) 1 BALES: (COUNT): TRUCK WEIGHT: {� C�� 7�-/ GROSS TARE 3�y 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 2.6.1 -OR ANY APPLICABLE�STATE LAW, HAS BEEN'PROPERLY DESCRIBED, CLASSIFIED AND- PACKAGED. AND IS IN PROPER CONDITION FOR TRANSPO)TATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER- TRANSPORTATION/FREIGHT CO. ' r _1 _/m _ E TRUCK NO. 25 LICENSE NO/STATE: TRAILER NO. 12-15 LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: c G DISPOSAL LOCATION ADDRESS: (PRINT NAME) DESTINATION (SIGNATURE) DATE DELIVERED: E, AND THAT IT WAS lA 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) KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR - SIGNATURE/DATE DISPOSAL LOCATION TICKET NO SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01152381 Steph 6155 Cox Lane, PO Box 962 L I Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF 06/30/15 06/30/15 0700 07.48 11 108T 009306 Town of Brookhaven Waste Manag REFERENCE - ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 56960 LB Outbound - Charge ticket Scale 1 Tare Wt. 35480 LB Net Weiaht 21480 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 10.74 TON Single Stream Recycl -15-000 161 10 (10-cl 161 10 r00 Uperating nours i-UU AM to S'UU rM t aays a weeK� �► w CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 NEXT HOLIDAY CLOSED. SATURDAY, JULY 4, 2015 ej IN OBSERVANCE OF INDEPENDENCE DAY Iro1J111 SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 56960 Scale 1 Tare Wt. 35480 Net Weight 21480 QTY UNIT DESCR 1074 TON I Single Stream Recycl SIGNATURE LB LB LB SITE TICKET GRID WEIGHMASTER t 01 01152381 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/30/15 06/30/15 07:00 0748 11 108T Outbound - Charge ticket RATE EXTENSION FEE TOTAI 15 000 161.10 000 161 10 CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7,68-515& NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 2015 ��'� IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE 61.10 TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 NO. 10578 THIS MANIFEST IS.FOR REFERENGE•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: COMMODITY SHIPPED JU U! I SHIP DATE: 6 1 r LOOSE:.1130 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: G 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, ISNOT 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 ANSPORTATION'ACCORDING TO APPLICABL&REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) v (SIGNATURE) ;TRANSPORTER TRANSPORTATION/FREIGHT GO. i L TRUCK NO. LICENSE NO/STATE: TRAILER NO. • LICENSE NO/STATE: HEREBY CERTIFY -THAT THE ABOVE NAMED' MATERIAL• WAS PICKED UP AT, THE GENERATOR SITE LISTEDiABOVE; AND THAT IT WAS' DELIVERED WITHOUT INCIDENTTO.THE DESTINATION.LISTED=BELOW i� DRIVER: 1 ," (PRINT NAME) (SIGNATURE) DESTINATION �(5DISPOSAL LOCATION; Cu'v "J -f / ` f DATE DELIVERED:. ADDRESS: I•HEREBYCERTIFY THAT THE ABOVE •MATERIAL HAS: BEEN'ACCEPTEDAN .D•TO THE BEST OF MY KNOWLEDGE'THE.INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRIN.T"NA'ME) KEY: WHITE TO DISPOSAL LOCATION GREENTOTRANSPORTER YELLOW TO TRANSPORTER. " PINK TO GENERATOR. GOLD TO'GENERATOR SIGNATURE/DATE` DISPOSAL LOCATION TICKET NO SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers SITE I TICKET GRID WEIGHMASTER -� 01 01152413 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/30/15 06/30/15 08 47 09:23 111 14T Scale 2 Gross Wt. 87500 LB Scale 1 Tare Wt. 37760 LB Net Weight 49740 LB QTY UNIT DESCRIPTION 2487 TON OUTGO MSW Operating hours 7,00 AM to 5,00 PM 7 days a weeKC CLOSED HOLIDAYS - QUESTIONS CALL 631-734-1 NEXT HOLIDAY CLOSED SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY SOUTHOLD TOWN DEPT SOLID WASTE 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 009304 Winters Brothers Outbound - Charge ticket RATE EXTENSION 0000- 000 4 o `®O *2 FEE TOTAL 0 00 000 Me SIGNATURE \ SITE I TICKET GRID WEIGHMASTER H 01 01152413 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 06/30/15 06/30/15 08 47 09:23 11114TC Scale 2 Gross Wt. 87500 LB Outbound - Charge ticket Scale 1 Tare Wt. 37760 LB Net Weight 49740 LB QTY UNIT DESCRIPTION RATE EXTENSION 2487 TON OUTGO MSW 0 000 000 l� On FEE TOTAL 0.00 000 CLOSED HOLIDAYS -QUESTIONS CALL 631-734 '7K��Nv `'' 0 00 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4, 201�� TENDERED IN OBSERVANCE OF INDEPENDENCE DAY � CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road G 0868 � Islandia, NY 11749 NO. (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: �y t r`� L SHIP DATE: COMMODITY SHIPPED: LOOSE: t 0 l (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '—;Jz' �/ C: 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) R TRANSPORTER TRANSPORTATION/FREIGHT CO. \ TRUCK NO. `f LICENSE NO/STATE: ; I 1 t•✓ r`a TRAILER NO. ^� i LICENSE NO/STATE: J f •.1 .l- �' (—: 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: J 1 (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ADDRESS 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) KEY. WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 6155 Coxtane, PO Box 962 Cutchogue, NY 11935 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58600 LB Scale 1 Tare Wt. 36380 LB Net Weight 22220 LB Q I UNIT I DESCRIPTION 11 11 1 TON I Single Stream Recycl SITE I TICKET GRID WEIGHMASTER 01 01152516 Steph DATE IN DATE OUT TIME IN TIME OUT VEHICLE =ROLL OFF 06/30/15 06/30/15 1232 12.46 111 14T Operating hours 7.00 AM to 5.00 PM 7 days a week: CLOSED HOLIDAYS - QUESTIONS CALL 631-7344 NEXT HOLIDAY CLOSED- SATURDAY, JULY 4,201 IN OBSERVANCE OF INDEPENDENCE DAY Outbound - Charge ticket RM111141 SIGNATURE IN 166.65 1 0-00 1 16665 16665 TENDERED **DUPLICATE TICKET** SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01152516 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN GATE OUT TIME IN TIME OUT VEHICLE , ROLL OFF 06/30/15 06/30/15 12.32 12.46 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill' 17 ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 58600 LB Outbound - Charge ticket Scale 1 Tare Wt. 36380 LB nieti %Al -;-k+ 9777n IR CITY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 11 11 TON Single Stream Recycl 15 000 16665 0.00 16665 ®I SOU fy Operating hours 7,00 AM to 5:UU NM i nays a weeK�, W CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685, NEXT HOLIDAY CLOSED SATURDAY, JULY 4, 201514IN OBSERVANCE OF INDEPENDENCE DAY SIGNATURE TRINITY TRANSPORTATION CORPORATION 244 Blydenburgh Road Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE(PURPOSES ONLY. GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: �. ��' u, It SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YD BALES: (COUNT): TRUCK WEIGHT: x(20 GROSS TARE NET 3 MATERIAL! �41 15 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, ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26.1 OR ANY APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED, CLASSIFIED AND PACKAGED, AND IS IN PROPER CON DITIO TR%1NSPOR`FATION ACCORDINGTO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME)' TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2"'i�_ LICENSE NO/STATE: TRAILER NO. (� J LICENSE NO/STATE: A) I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE L.S ED ABOVE, AND THAT IT WAS = DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED. BELOW DRIVER: (PRINT NAME) TURE) DESTINATION, DISPOSAL LOCATION:. �" "t f`� J DATE DELIVERED:. l C ADDRESS: - I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDG&THE INFORMATION PROVIDED IS TRUE AND ACCURATE, RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) KEY WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR SIGNATURE/DATE DISPOSAL LOCATION TICKET NO