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HomeMy WebLinkAbout09/2017 A. STER.,£ "*DUPLICATE TICKET** sITE TICKET ; GRIq`` W,EIGIiM SOUTHOLD TOWN DEPT SOLID WASTE 01 01313903 BM 615,4Cox Lane, PQ BOX 962 DATE W DATE OUT,„. '_TIME IN TIME OUT „VEHICLE,r: ROLL'OFF Cutchogue, NY 11935 °'' o-;__ 09/01/17 09/01/17 0846 08.46 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt 64640 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Nei Weiaht 28360 LB QTY UNIT DESCRIPTION _ _ RATE EXTENSION FEE TOTAL 1418 TON OUTGO.CONST-CO NTRACT 0.000 0.00 0.00 0.00 b,< _y 1 1 Operating hours 7:00 AM to 5:00 PM 7 days a week,. `'o' ,�= .• ff .;q' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. °.w,, ' 0.00 . ,,r NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR-DAYI rt TENDERED CHECK NO SIGNATURE SITE z- TICKET, 4 = GRID; WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01313903 BM 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT ' ,VEHICLE _ ROLL OFF Cutchogue, NY 11935 09/01/17 09/01/17 08:46 0846 11114TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt. 64640 LB Outbound-Charge ticket Manual Tare Wt 36280 LB 'UNDESCRIPTION '=' `RATE EXTENSION FEE TOTAL 14.18 TON OUTGO.CONST-CONTRACT 0 000 000 000 0.00 ^ fiti FI-7 � 7 i. Operating hours 7:00 AM to 5:00 PM 7 days a week` �` ?ti % r x ' • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7585.x"a'> -... ... � ' 0.00 TENDERED NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABODAYr UN r x CHANGE CHECK O. _�j SIGNATURE TRINITY TRANSPORTATION CORPORATION -4214 Blydenburgh Road 153 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 G COMPANY: V 0 LA I SHIP DATE: ) COMMODITY SHIPPED: c ! LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: - ' 'r" 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 CON DITIOWFOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)_____.- TRANSPORTER TRANSPORTATION/FREIGHT CO. } / TRUCK NO. LI_- J LICENSE NO/STATE: / TRAILER NO. l 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: ro u � `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. _ .0 71CKEr_` `I _, RID'; ' WE **DUPLICATE TICKET** sITE _ IGiIMAsTER SOUTHOL'n, TOWN DEPT SOLID WASTE 01 01313984 BM 6155 Cox Lane, PO BOX 962 .DATE IN, DATE.OUT, TIME IN TIME OUT VEHICLE ROLL OFFt Cutchogue, NY 11935 __ = _ ` 09/01117 09/01/17 12.29 12.29 1 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt. 60160 LB Outbound-Charge ticket Manual Tare Wt 36820 LB Net Wei ht 23340 LB QTY.' `-UNIT "" = ,-DESCRIPTION' RATE - '-T`EXTENSION=-_ FEE `30TAL 11.67 TON 3ingle Stream Recycl 15.000 17505 0.00 175.05 4 i 1 Operating hours 7.00 AM to 5.00 PM 7 days a week'�' ""`� �.; .?` ;. � • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 f ,», '`4�_..-Ws" , : 17505 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY," '.4pp7g, ��q "'c _ TENDERED CHANGE': CHECK NO' SIGNATURE **DUPLICATE TICKET** SITE I _TICKET= _11GRID,=- 1NEIGHMASTEA_ , SOUTHOLD TOWN DEPT SOLID WASTE 01 01313984 BM 6155 Cox Lane, PO BOX 962 DATE IN:''A DATEuOUT` ,,TIME IN;TIME,OUT „ VEHICLE." „ROLL OFF Cutchogue, NY 11935 09/01/17 09/01/17 12:29 12:29 111114T 009306 Town of Brookhaven Waste Manag One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt 60160 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB NA IM-inht 2334n L 13 QTY . - UNI - �__DESCRIPTION= 'RATE EXTENSION=_ '`_, FEE- =- 7-TOTAL'--- _?�, 11 67 TON 3ingle Stream Recycl 15 000 17505 0.00 17505 All Operating hours 7.00 AM to 5 00 PM 7 days a week �, ` ;. :. �ti x:' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 17505 NEXT HOLIDAY` MONDAY, SEPTEMBER 4TH,LABOR'-DAY J �'a ;,'� ••; �CHECKNQ..'v-% SIGNATURE TRINITY TRANSPORTATION CORPORATION '214 Blydenburgh Road NO. 1531 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. { COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: " ' "r''� , GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE-LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ,,- TRANSPORTER TRANSPORTATION/FREIGHT CO. a TRUCK NO. LICENSE NO/STATE: / ` F TRAILER NO. LICENSE NO/STATE: s 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: t_ �✓� Y l (PRINT NAME) fr (SIGNATURE) - G` DESTINATION DISPOSAL LOCATION: DATE DELIVERED: t ADDRESS: t I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE'THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE £-TICKET__' GRID = WEIGHMASTER **DUPLICATE TICKET** ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01314145 Steph 6155 Cox Lane, PO BOX 962DATE IN DAT_E_ OUT -TIMEIN TIME OUT ----VEHICLE_ --ROLLOFF Cutchogue, NY 11935 09/02/9,7 09/02/17 10:20 10,20 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85020 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB QTY '_ UNIT DESCRIPTION- RATE EXTENSION-' FEE :TOTAIY 2474 TON DUTGO MSW 0.000 000 0.00 000 fl 4 AT Operating hours 7:00 AM to 5.00 PM 7 days a week.1:. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5.` ��,"` 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY f J'd },tr £g s ' ' TENDERED --c..a-�.,'ro^"•c.,m;'�'" ri -:!CHANGE'-, `,-CHECK NO SIGNATURE GRID -= Y+!_EIGHMASTER **DUPLICATE TICKET'* SOUTHOLD TOWN DEPT SOLID WASTE 01 01314145 Steph 6155 Cox Lane, PO Box 962 DATE 1N DATE OUT_, TIME IN TIME-OUT. VEHICLEz- _ ROLL OFF Cutchogue, NY 11935 09/02/17 09/02/17 10:20 10:20 11 121T 009316 Town of Babylon REFERENCE .. Scale 2 Gross Wt 85020 LB Outbound-Charge ticket Manual Tare Wt 35540 LB =_-QTY. __ UN DESCRIPTION,r` RATE EXTENSION, FEE TOTAL'` 24.74 TON DUTGO.MSW 0.000 000 000 0.00 3 Operating hours 7 00 AM to 5 00 PM 7 days a week°`" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E -- �, �J 0 00 tom, .� NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'DAY' �(",�<+p $`E � �o^ ;`" TENDERED -.CHECO. r,a SIGNATURE " NO. - 8 ® 64 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `" GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID ," WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01314125 Steph 6155 Cox Lane, PO Box 962 DAT_E'IN-= DATE OUT TIME IN TIME OUT `=-VEHICLE _- =ROCL`--OFF_ Cutchogue, NY 11935 ` 09/02/17 09/02/17 09:39 09:39 111 14T 009316 Town of BabylonREFERENCE •. Scale 2 Gross Wt 85960 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB QTY",, SUN e "DESCRIPTION - = `, :RATE EXTENSION „FEE, TOTAL 25 01 TON DUTGO MSW 0 000 0.00 000 000 x i Operating hours 7°00 AM to 5:00 PM 7 days a week`, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 ' � ';TENDERED NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY`, „p " ys -CAGE CHECK NO. SIGNATURE SITE _ EI ,r, ,, . TICKET' GRID GHMASTER' _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01314125 Steph 6155 Cox Lane, PO Box 962 DATE IN --, DATE OUT 'TIME,iN' TIME CQUT VEHICLE, - ` r "ROLL OFF' Cutchogue, NY 11935 09/02/17 09/02/17 09.39 09.39 111 14T 009316 Town of BabylonREFERENCE ORIGIN Scale 2 Gross Wt. 85960 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB 520- III QTY_.. UN DESCRIPTION RATE__ EXTENSION FEE, TOTAL 2501 TON DUTGO.MSW 0 000 0.00 000 0.00 Operating hours 7:00 AM to 5.00 PM 7 days a week. • ..e CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :� :>�_ --•- - � { 0.00 y4 .-;TENDERED' NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOWDAY %C CKNO:f SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road No. 1 5'3 4 Islandia, NY 11749 (631) 342=9673 THIS MANIFEST IS FOR REFERENCE URPQ-SES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOWT ASSUM,F ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: �I COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT:' c GROSS ` ! TARE ` f, 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 261ORANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. r LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTE?ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE'DESTINATION LISTED BELOW. DRIVER: -3 ko !' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ) _ r t DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THATTHE 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 01314086 Steph 6155 Cox Lane, PO Box 962 DATE IN'__ DATE OUT TIME IN-TIME OUT 'VEHICLE ROLL OFF Cutchogue, NY 11935 09/02/17 09/02/17 07:56 0756 11 121TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt. 57720 LB Outbound-Charge ticket Manual Tare Wt 38700 LB QTy- '"" UNI DESCRIPTION;, jBATE - EXTENSION' FEE, T07AL 9.51 TON Single Stream Recycl 15.000 142.65 0.00 14265 ' ti g (� t I Operating hours 7:00 AM to 5.00 PM 7 days a week ' :`-5 ;� CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. ` `"^ -` r 142.65 j ;."f s y a ffi a "V TENDERED NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY-, yf',f0 � � CHANGEi- CHECK NO SIGNATURE SITE -'TICKET GRIDVNEIGHMASTER'„ - SOUTHOLD TOWN DEPT SOLID WASTE 01 01314086 Steph 6155 Cox Lane, PO Box 962 __ = ' DATEIN��� DATE OUT .TIMEdN�'TIMEOU,T ;__VEHICLE' `,.,-;ROf*LhOFF '- Cutchogue, NY 11935 09/02/17 09/02/17 107-56 L07-56 11 121T 009306 Town of Brookhaven Waste ManagREFERENCE ORIGIN One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 57720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB = QTy' , UN DESCRIPTION RATE __ EXTENSION -_' r. FEE TOTAL 9.51 TON Single Stream Recycl x,15.000 142.65 0.00 142.65 f� r ' `�}r'� 7, Operating hours 7:00 AM to 5:00 PM 7 days a week, \' _ "`` `✓ ' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85 14265 �' =' r 142 65 =TENDERED.-:'-. AY NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABORD = � �. CHANGE SIGNATURE NO. 8®63 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ? GROSS t' 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 TCl APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD"TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE _ .TICKET- GRID _WEIGHMASTER , = SOUTHOLD TOWN DEPT SOLID WASTE 01 01314078 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT i TIME IN TIME OUT 'VEHICLE '_ ROLL OFF' Cutchogue, NY 11935 - 09/02/17 09/02/17 07:22 07.22 111 14T 009306 Town of Brookhaven Waste Manag •, One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 59140 LB Outbound-Charge ticket Manual Tare Wt 36620 LB NP Weiaht 2 2520 QTY., " , „ .,UNIT DESCRIPTION' " RATE___. EXTENSION^ F,EE „ :TOTALd 11.26 TON 3ingle Stream Recycl 15 000 16890 000 168.90 —17 (: 4 o G Operating hours 7 00 AM to 5.00 PM 7 days a week's `' e. �J.�- - ° -' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.<<° '¢, `� _-- ,` 168.90 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR`DAV?V rY" :'.^{ `gym' ` �Iy =.TENDERED=_, CHANGE. CHECK NO: s SIGNATURE **DUPLICATE TICKET** SITE-, TICKETGRID - _ WE1GH SOUTHOLD TOWN DEPT SOLID WASTE 01 01314078 Steph 6155 Cox Lane, PO BOX 9622 DATE IN's`.',„,DATE OUT 3TIME IN TIME O6T1 ,;\;VEHICtFI _ ";_„"ROLL QF,F,"" Cutchogue, NY 11935 09/02/17 09/02/17 07:22 0722 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII •. Farmingville NY 11738 Scale 2 Gross Wt. 59140 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QY_.TUNI _ _ DESCRIPTION _ RATE_ EXTENSION _- _ FEE TOTAL 11.26 TON 3ingle Stream Recycl 15.000 168.90 0.00 168.90 Operating hours 7.00 AM to 5:00 PM 7 days a week,, °°";v ``�. a' _-;�` �' ' h+ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' �,;: 16890 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY° A` ;ntl 'v a � r TENDERED=°=' -CHANGE ,CHECK O.=- SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 No .�53 2 . (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. -t { COMPANY: t SHIP DATE: ` t 1 COMMODITY'SHIPPED: LOOSE: 2 (CU YDS) i BALES: (COUNT): TRUCK WEIGHT: , ``' 1 41 z ' GROSS TARE Z NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID,AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. Z LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: f s I 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ' DRIVER: - L' (PRINT NAME) r' (SIGNATURE) DESTINATION DISPOSAL LOCATION: ` (' i' �! DATE DELIVERED: 1 ` I ! ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE "TICKET _ WEIGHMA$TER' Ada SOUTHOLD TOWN DEPT SOLID WASTE 51701 01315220 MC 6155 Cox Lane, PO Box 962 SATE IN PATE ou TIME IN rihnE_O VFHICLE,, ROLL C)FFR" Cutchogue, NY 11935 ' 09/08/17 09/08/17 09:10 09.11 111 14T 009316 Town of Babylon REFERENCE �. Manual Gross Wt. 74000 LB Outbound-Charge ticket Manual Tare Wt 36000 LB Nip 1AIP r'QTY; mnnn UNf DEBCRIPTtOfy- _ - '-. .,RATE_ "EXTENSf4N FEE " TOTAL.- 19 00 TON OUTGO.MSW 0 000 000 000 000 Operating hours 7 00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY, "`TENDERECI, NOTE 'OML5JN0 SCALS� RANGE '- CHECK-N .'_ SIGNATURE SITE TICKET< ;rz GIRD 1WEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 01 01315220 MC 6155 Cox Lane, PO Box 962 -,DATE IN, DATE OUT TIME-IN TiMEOUT VEHICLE 'ROH Cutchogue, NY 11935 09/08/17 09/08/17 0910 0911 111 14T 009316 Town of Babylon REFERENCE �. Manual Gross Wt 74000 LB Outbound-Charge ticket Manual Tare Wt 36000 LB QTY UN DESCRIPTION = :RATE, EXTENSION _ ' FEE'- TOTAL' 1900 TON OUTGO MSW 0 000 000 0.00 000 Operating hours 7 00 AM to 5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 . 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY ;°TENDERED`. ; NOTES EST FROM 9/5 NO SCALES eHa CHECK O:'. SIGNATURE "DUPLICATE TICKET"* ,SITE , ' TICKET;' I GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01314790 Dan 6irA Cox Lane, PO Box 962 DATE IN BATE OUT " TIME IN,TIME OUT VEHICLE- :ROLL OFF„'­ Cutchogue, NY 11935 _ 09/05/17 09/05/17 13.03 1303 11 121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 81600 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 42900 LB -.QTY, a UNIT DESCRIPTION - ” RATE EXTENSION FEE :TOTAL 21.45 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ri „y., ,jvF;, q�1.tL_l;F,• i r`jr oma:., ✓�� tea. tt _ �t -.. {Iii Operating hours 7.00 AM to 5°00 PM 7 days a week-- • 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' ' 'rr h` _._ ;,• ti`. NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY:� ;, `,; : ,;I �,�� .- ,;��` TENDERED -CHANGE CHECK NO. SIGNATURE DUPLICATE TICKET'" $ITE TICKET: :- GRIP;,, „ WEIGHMASTER," SOUTHOLD TOWN DEPT SOLID WASTE 01 01314790 Dan 6155 Cox Lane, PO BOX 962 -,-DATE IN DATE OUT TIME IN TIME OUT -'VEHICLE -ROLL OFF Cutchogue, NY 11935 09/05/17 09/05/17 13.03 13:03 11121T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 81600 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB —"-QTY TOW— DESCRIPTION _ _RATE EXTENSION FEE" TOTAL 21.45 TON OUTGO MSW 0 000 0.00 000 0.00 t .r Pit r Operating hours 7:00 AM to 5:00 PM 7 days a week. - ` e_�-w - . ,;=% • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'_>'`'`^'. _ _ `� b_ yr J 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DA`( ;" '; �d? 'TENDERED CHANGE` , =CHECK NO. SIGNATURE . y NO. - 6 ®66 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART'261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION,FOR TRANS PORTATION=ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) "`(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1-535 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 NO+ ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: jo IV L SHIP DATE: COMMODITY SHIPPED_ : S D LOOSE: ! 1J (CU YDS)- BALES:-(COUNT): TRUCK,WEIGHT: � _%' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE=NAMED MATERIAL DOES,NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR'ANY _. APPLICABLE STATE LAW,IS NOT HAZARDOUS.WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE-STA-TE..LAW„HAS•BEEN PROPERLY- -DESCRIBED.,CLASSIFIED AND PACKAGED;AND-IS IN PROPER CONREI-G_N;.FOR TRANS,P-ORTATION;AGCORDINb TO APPLICABLE.REGULATION- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE ,------,TRANSPORTER TRANSPORTATION/FREIGHT CO.' j 1"j �l TRUCK NO. 2—:3 LICENSE NO/STATE:, TRAILER NO. I 0 cl 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 C-9 DLISTED BELOW. DRIVER: 6 { (PRINT NAME) fir'' (SIGNATURE) DESTINATION,/ ALL LOCATION: ro1f l"i fj-r�� Y,%v �. ` 1" DATE DELVERED: -9 sDISPOS OC , ADDRESS: - - d HEREBY CERTIFY THAT-THE ABOVE-MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYXNO,WLEDGE THEW INFORMATION PROVIDED, IS TRUE AND ACCURATE: RECEIVED BY: AUTHOR IZED'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'~" _ GRIDI -=' WEIGHMASTER, SQUTHQLrk)TOWN DEPT SOLID WASTE 01 01314703 Dan 6155 Cox Lane, PO Box 962 - -DATE IN DATE OUT TIME IN' TIME,OUT • '-VEHICLE Cutchogue, NY 11935 - 09/05/17 09/05/17 10:25 1025 11 121T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt. 54740 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Wei ht 19200 LB QTY UNIT. _ ; DESCRIPTION `RATE EXTENSION `FEE " -TOTAL' 9.60 TON Single Stream Recycl 15 000 144.00 000 14400 S m-4 `4 J Operating hours 7'00 AM to 5:00 PM 7 days a week;' "`,"�•' ��`�__° - - --- %' - � • CLOSED HOLIDAYS-QUESTIONS CALL 631-73427685'.-l"`, , s 14400 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR;DAY"' ,� 4-'` r�7 "' a TENDERED a. '0 �t �Nr CHANGE -CHECKN SIGNATURE :J rSITEj TICft- = „, .,GRID..,';. 'ti k .„.WEIGHMASTER ”*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01314703 Dan 6155 Cox Lane, PO BOX 962 =_DATE IN D_ATE__O_UT TIME_IN_ TIME OUT __ V_EHIGLE _ ROLL OFF Cutchogue, NY 11935 ` 09/05/17 09/05/17 10.25 10.25 11 121T 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 54740 LB Outbound-Charge ticket Manual Tare Wt 35540 LB <_;QTY., ;,UNIT,,, DESCRIPTION RATE" '-EXTENSION" -'_ ,,FEE :TOTAL 9.60 TON Single Stream Recycl 15.000 14400 000 14400 i dn-- _s Q� �/ �• I i �'�J Operating hours 7 00 AM to 5.00 PM 7 days a weel&'. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685s ,a 144-00 rt, NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'DAY+l E':;i;:"'3, ,'� "=TENDERED''. :, ,= ,., ,. M�t�P.• '?-----'-'CHANGE' _ _ZCHECK NO. - SIGNATURE Y .. .7 NO. 8®65 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. TKYNITY TRANSPORTATION CORPORATION 214 Blydenburgh Road -1533 NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEREP CE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTA SSUME ANY LIABILITYY,,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS _ COMPANY: _ u� i V,I C" L-I 7 SHIP DATE: U I COMMODITY SHIPPED: -' A-c(- `-i LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS-DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261"OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION,�FORTRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE e.� fTRANSPORTER d �t ; TRANSPORTATION/FREIGHT CO. TRUCK NO., — LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTBA ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: k3 (PRINT NAME) ���% (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: � !I ADDRESS: ! HEREBY CERTIFY THAT THE ABOVE MATERIAL"HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER «� PINK TO GENERATOR :1✓1 GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. } SOUTHOLD TOWN DEPT SOLID WASTE 01 01314965 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 09/06/17 09/06/17 1326 13:26 11121TC 009316 Town of Babylon Manual Gross Wt 91320 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Weight 55780 LB 2789 TON OUTGO.MSW 0.000 0.00 0.00 000 Operating hours 7.00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-'QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY SOUTHOLD TOWN DEPT SOLID WASTE 01 01314965 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 09/06/17 09/06/17 1326 13.26 11 121T 009316 Town of Babylon Manual Gross Wt 91320 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 55780 LB 27.89 TON OUTGO.MSW 0.000 000 000 0.00 Operating hours 7:00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY NO. - 8'0 6 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT:, `"' I '? GROSS TARE 47- C` ,�Cy NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY- APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: - RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR ; GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 153 3 6' 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 AS//S P�UME ANY LIABILITYASSOCIATED S,SOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f COMPANY: ��V I �--_1 SHIP DATE: fJ 1 COMMODITY SHIPPED: LOOSE: C? b (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 " t' L/ GROSS .r TARE t �= 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 A`P`PLLICA_B_LE_REGUL-ATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) t_ �--�i (SIGNATURE) y3 TRANSPORTER - TRANSPORTATION/FREIGHT CO. I i '� I �—v TRUCK NO. �� L>CENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP•AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) -� DESTINATION C 0 �! � /� DATEDELIVERED: G 1 � ALL TI � ) � � T DISPOSAL LOCATION: b I II t ADDRESS: Y 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 7-,-TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01314904 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE," ROLL OFF' Cutchogue, NY 11935 09/06/17 09/06/17 07.52 0752 11121TC 009316 Town of Babylon REFERENCE ORIGIN F Scale 2 Gross Wt 91640 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB et Wei ht 55020 LB QTY UNIT _`DESCRIPTION'_ = RATE EXTENSION- - FEE __ TOTAL 27.51 TON OUTGO.MSW 0.000 0.00 000 000 V c. �x �: ~,tom f �• y'-y}} iltf1 i K Operating hours 7.00 AM to 5.00 PM 7 days a week.-,, ;,; _ - - @`} { - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1"A . ' '- ""_ 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORDAY .' `;' TENDERED e t CHANGE :CHE K NO:'•' SIGNATURE SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01314904 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT -TIME IN TIME OUT VEHICLE._. ROLL OFF Cutchogue, NY 11935 09/06/17 09/06/17 07.52 07'52 11121TC 009316 Town of Babylon REFERENCE O. IGIN Scale 2 Gross Wt 91640 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weiaht 55020 B CITY UNIT `'.DESCRIPTION RATE EXTENSION` - FEE._;=_` a TOTAL_ 2751 TON OUTGO MSW 0.000 000 000 000 �' .�,�'�'rt,✓ Y.P. ^ �'_ Y.1.. �) *-. Operating hours 7.00 AM to 5:00 PM 7 days a week, ;1, ',' _ - ' ---- ��`' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-'7685''�:y"" -' *k 0.00 <Y p 'ri 1 __ v ` ��' °, 'TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR /3,;,E¢J ._z� ty;, HEC NO, SIGNATURE NO. 8®67 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOF{S 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: r SHIP DATE: ` COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ,} TARE t d 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 APPLICA"BLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCOR,ING TQ APPLICABLE REGULATION. t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED.UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER ` YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road , NO. 15.3 7- 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. r ' COMPANY: LA-1 i 6 LT)1 SHIP DATE: t / COMMODITY SHIPPED: m LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET .I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART-260.10 OR ANY APPLICABLE-STATE LAW,IS NOT HAZARDOUS'WASTE AS DEFINED BY 40.CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE TRANSPORTER f TRANSPORTATION/FREIGHT CO: TRUCK NO. �1" LICENSE NO/STATE: TRAILER NO. 1 f 5 LICENSE NO/STATE: I HEREBY CERTIFY THAT:THE ABOVE NAMED MATERIAL WAS PICKED UP AT,THE GENERATOR SITE,LASTED ABOVE, AND THAT IT WAS. DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: , (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: } 16 ;"� � ft .iJ I`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) 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** SI?E TICKET GRID lNElGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01315126 MC 6155 Cox Lane, PO Box 962 7DgTE,IN 'DATE.OUT TIME qq--TIMEOUT,,, VEHICLE' Cutchogue, NY 11935 09/07/17 09/07/17 13:37 13:38 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82820 LB Outbound-Charge ticket Manual Tare Wt. 36300 LB N1- Wpifnh 46520 LE QTY UNIT DESCRIPTION RATE,: EXTENSION FEETOTAL, ., 23.26 TON DUTGO.MSW 0 000 000 0.00 000 Operating hours 7.00 AM to 5.00 PM 7 days a week • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR"DAY. TENDERED CHANGE CHECK O: ' `" " SIGNATURE $ITE _• , _TICKET'-_; GRIU WE1GHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01315126 MC 6155 Cox Lane, PO Box 962 0146iN DATE.6UT t1ME'IN TIME AUT - -VEHICLEfloLi oFF - Cutchogue, NY 11935 09/07/17 09/07/17 13:37 13.38 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82820 LB Outbound-Charge ticket Manual Tare Wt 36300 LB NIP IA/Pirfht 46.52n R QTY UNI- DESCRIP.TION.. =` RATE- EXTENSION` , FEE` TOTAL -. 23.26 TON OUTGO MSW 0.000 0.00 0.00 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :, 000 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR-bAY ' ^` .k .TENDERED,-'n," "C EC A O.' ": SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 1540, NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENC�E,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 71 17 COMPANY: 0 u\ t 1 o L l SHIP DATE: 1 COMMODITY SHIPPED: i, LOOSE: D 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i' %{ GROSS TARE �f M' 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 961 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 I r".1 , L 1 TRANSPORTATION/FREIGHT CO. f TRUCK NO. 2: LICENSE NO/STATE: TRAILER NO. �I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE,NAMED MATERIAL WAS PICKED'UP AT-THE GENERATOR SITE LISTED ABOVE!'A'ND THAT IT'WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) _ (SIGNATURE) DESTINATION DISPOSAL LOCATION: U U � A OYLO DATE DELIVERED: � 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFO-'/! 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 r NO. � 8 0 0 6 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS -'p TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BYF40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW.HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE[" ' TICKET---i »WEIGHMASTER,- "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315078 MC 6155 Cox Lane, PO Box 962DATE IN DATE OUT -TIME IN VEHICLE TIME`OUT ROLL OFF Cutchogue, NY 11935 09/07/17 09/07/17 10.37 10.37 11114TC 009303 Southold Town Special Clean Up REFERENCE .- Scale 2 Gross Wt. 57340 LB Outbound-Charge ticket Manual Tare Wt 35900 LB - : QTY UNI DESCRIPTION. - RATE EXTENSION FEE -= TOTAL 1072 TON Single Stream Recycl 15 000 160.80 000 16080 Operating hours 7 00 AM to 5:00 PM 7 days a weW CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76W!, ,, a t om; Y 1(3n sn NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR,DAW v a €a: TENDERED a,oaCHANGE,, CHECK NO. SIGNATURE TICKET__- GRID `-_- WEIGH_MASTER_ "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315078 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT DIME IN TIME OUT =_VEHICLE ROLL OFF Cutchogue, NY 11935 09/07/17 09/07/17 10.37 10:37 111 14T 009303 Southold Town Special Clean Up REFERENCE ORIGIN Scale 2 Gross Wt 57340 LB Outbound-Charge ticket Manual Tare Wt 35900 LB QTY =_ IPTION " = RATE EXTENSION' _` FEE - TOTAL 1072 TON Single Stream Recycl 15 000 160.80 0.00 16080 } / Operating hours 7:00 AM to 5:00 PM 7 days a week=e, A CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' '� - �..� NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY' r CHAN E CHECK-NO. "' SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 15-39 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. -7 COMPANY: � Q Lk 6 �r 0 L t l SHIP DATE: � ! t � � COMMODITY SHIPPED: rc LOOSE: P C` (CU YDS) BALES: (COUNT): � - TRUCK WEIGHT: ��? % GROSS {! � TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND �IISSJIN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.DRIVER: . (PRINT NAME) ,," (SIGNATURE) (` DESTINATION • � T VER DISPOSAL LOCATION. � I � DATE E DELI D•E ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE = -_TICKET GRID _ WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01315072 MC 6155 Cox Lane, PO BOX 962 DATE IN_ DATE OUT TIME IN` TIME OUT -V HICLE ROLL OFF Cutchogue, NY 11935 09/07/17 09/07/17 1025 1025 11121TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 62660 LB Outbound-Charge ticket Manual Tare Wt 35500 LB " QTY '_ UNI DESCRIPTION RATE EXTENSION -`FEE; _ TOTAL 1358 TON Single Stream Recycl 15 000 20370 000 203.70 N� ell ^a Operating hours 7°00 AM to 5:00 PM 7 days a weeks _� •, '��:�- ' � „ - � � r CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 . -- �w ''J91713 7n ,. c r a } TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY` CHANGE CHE NO: SIGNATURE -SITE �_-_TICKET- r° GRID- WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01315072 MC 6155 Cox Lane, PO BOX 962 >_ DATE IN= DATE OUT-: TIME IN TIME OUT VEHICLE- _ ,ROLLOFF Cutchogue, NY 11935 09/07/17 09/07/17 10:25 1025 111"TC009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 62660 LB Outbound-Charge ticket Manual Tare Wt. 35500 LB QTY _ ttttPTION4=E3 AjATE EXTENSION,- FEE` TOTAL'' 13.58 TON Single Stream Recycl 15 000 203.70 000 20370 � '7 n l 1 Operating hours 7 00 AM to 500 PM 7 days a week - .E CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �,< _TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR"DAY' CHANGE,-". "C C O:" SIGNATURE NO. 8® 75 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: tr , COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PR/INT NAME) ' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ` LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED-WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE 'TICKET- GRID WEIGHMASTER, - SOUTHOLD TOWN DEPT SOLID WASTE 01 01315041 MC 6155 Cox Lane, PO BOX 962 DATE INDATE OUT ;TIME IN, TWO VEHICLE _.ROLL OFF Cutchogue, NY 11935 09/07/17 09/07/17 0740 07:40 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt. 58400 LB Outbound-Charge ticket Manual Tare Wt 35900 LB Nei Wpiaht 99r)nn LB -, UNIT DESCRIPTION RATE. EXTENSION` . FEE _. d-TOTAL - QTY 11 25 TON Single Stream Recycl 15 000 16875 0.00 168.75 Operating hours 7,00 AM to 5 00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 16875 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED.. .' CHANGE .• - - CHEC NO. SIGNATURE "DUPLICATE TICKET'" SITP " TICKET, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315041 _ MC 6155 Cox Lane, PO Box 962 DATE'IN DATE OUT TIM-EI 71MEOUT VEHICLE_ ROLLOFF ` Cutchogue, NY 11935 - 09/07/17 09/07/17 0740 0740 11114T 009306 Town of Brookhaven Waste Manag REFERENCE •, One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58400 LB Outbound-Charge ticket Manual Tare Wt 35900 LB QTY. * UNP DESCRIPTION RATE. EXTENSION ` _ FEE dTOTAL, 11 25 TON Single Stream Recycl 15 000 16875 000 16875 Operating hours 7 00 AM to 5.00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 168.75 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'"DAY TENDERED CHAN E„ EC O.` , SIGNATURE �f TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1539 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 NO,7T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I i COMPANY: t� i )AAI) SHIP DATE: ri COMMODITY SHIPPED: J , LOOSE: (CUYDS) BALES:(COUNT): TRUCK WEIGHT: GROSS � lr 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 X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE TRANSPORTER ----TRANSPORTATION/FREIGHT CO. TRUCK NO. i '° { LICENSE NO/STATE: TRAILER NO. -' LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS' DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: lo c (`- / (PRINT NAME) . (SIGNATURE) fc DESTINATION DISPOSAL LOCATION: # DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *"DUPLICATE TICKET"" SITE TICKET',- -GRID ' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315046 MC 6155 Cox Lane, PO BOX 962 --:DATE IN `'; DATE OUT TO E-IN TIME OUT 'VEHICLE, ,ROLLOFF,, Cutchogue, NY 11935 09/07/17 09/07/17 0758 0758 11121 TC 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE • Farmingville NY 11738 Scale 2 Gross Wt 76580 LB Outbound-Charge ticket Manual Tare Wt. 36600 LB Net Wei ht 39980 LB QTY ;'UNIT DESCRIPTION RATE 'IXTENSION FEE TOTAL 1999 TON DUTGO CONST-CONTRACT 0 000 000 000 000 .G_ :r m tp ' Operating hours 7.00 AM to 5:00 PM 7 days a week=", �" �„`",w. ,Yf"� `` : • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 CV,°'pe ' a;. ;.£ 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR^DAYr� ,Ez �- . - --"TENDERED . All I g CHANGE '-CHECK NO _ SIGNATURE "DUPLICATE TICKET"` SITE I TICKET .- GRID; WEIGHMASTER,, SOUTHOLD TOWN DEPT SOLID WASTE 01 01315046 MC 6155 Cox Lane, PO Box 962 ,DATE IN DATE OUT TIME W TIME OUT VEHICLE -ROLL OFF Cutchogue, NY 11935 09/07/17 09/07/17 07:58 07.58 11 121T 009306 Town of Brookhaven Waste Manag One Independence HIII REFERENCEc • Farmingville NY 11738 FTyScale 2 Gross Wt. 76580 LB Outbound-Charge ticket Manual Tare Wt 36600 LB _-UNIT" "' DESCRIPTION --i_=RATE EXTENSION' FEE �- -'.TOTAL 19.99 TON DUTGO CONST-CONTRACT 0.000 0.00 0.00 0.00 'j } Operating hours 7.00 AM to 5 00 PM 7 days a week `' � `' _;° ` � � . • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 b � 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR,DAY, ; f}`..°,_; •� � TENDERED.` 'CHANGE""" CHECK NO. SIGNATURE �1_ f— NO. 18074 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. a, COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `> 't GROSS TARE ?`✓``f%, C% NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION o,/� L"�` !f✓ 'ff'% "'' 'gyp' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. , -S_I'fE`= TICKET-=_ ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315327 Dan 6155 Cox Lane, PO Box 962 DATEiN AATOUC ' T(ME1N„TIME OUT VEHICLE = ROLLOFF Cutchogue, NY 11935 09/08/17 09/08/17 13:47 113:47 11121 TC 009316 Town of Babylon REFERENCE �. Manual Gross Wt. 91640 LB Outbound-Charge ticket Manual Tare Wt. 38340 LB QTY, llNt t7ESCRIP1tON> RATE` _ EXTENSION— 'FEE', TOTAt 26 65 TON DUTGO.MSW 0 000 000 000 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY " .TENDERED CHANGE CHECK NO" !�J, SIGNATURE SI7E TICKET GRID - -_ WEIGHMA_STER ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315327 Dan 6155 Cox Lane, PO Box 962 DATEIN _ ° 'DATEOUT -TIMoiN,TIME-OqT,, "vEHiCfE-= -,` `06LL{1FFz_ - Cutchogue, NY 11935 09/08/17 09/08/17 113:47 13.47 11 121TC 009316 Town of Babylon REFERENCE ORIGIN Manual Gross Wt 91640 LB Outbound-Charge ticket Manual Tare Wt. 38340 LB QTY UNI . DESCRIRTIORf,. ='RATE EXTENS(CN ' - 'FEE__ ": '-TOTAL;. 2665 TON OUTGO MSW 0 000 000 000 000 Operating hours 7:00 AM to 5.00 PM 7 days a week.:" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED_'''.`` �CH E PG O.. SIGNATURE P c e NO. - 6® 6 { GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: "' SHIP DATE: t r � {:— COMMODITY SHIPPED: LOOSE: ? (CU YDS) BALES: (COUNT): TRUCK WEIGHT:- i/ �-' GROSS S r TARE zs —7 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. i TRUCK NO. LICENSE NO/STATE: TRAILER NO. d LICENSE NO/STATE: =` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT W`A'— DELIVtRED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW - DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION a DISPOSAL LOCATION: = ,/ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK-TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE_ 1 -TICKET z." GRID, �__WEIGHMASTER. *"DUPG!CATE,TICKET- SOUTHOLD TOWN DEPT SOLID WASTE'S 01 01315322 Dan 6155 Cox Lane, PO Box 962 oaTEiiv, paT our TIMEiN_TiME0rUT ~ , VEHICLE. - ROLL OFF Cutchogue, NY 11935 09/08/17 09/08/17 13:18 13:18 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 93700 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY. - UNIT DESCRIPTION'_,.; RATE: EXTENSION FEE TOTAL 2888 TON DUTGO MSW 0 000 0.00 000 000 . t Operating hours 7 00 AM to 5.00 PM 7 days a week' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY . ,JENDERED.",-. BECK NO: =- SIGNATURE **DUPLICATE TICKET** SITE TICKET` GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315322 Dan 6155 Cox Lane, PO Box 962HATE IN DATE OUT_ TIME IN TIME OUT VEHICLEROLL OFFf Cutchogue, NY 11935 09/08/17 09/08/17 1318 13.18 111 14T 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 93700 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY, UN1Y DESCRIPTION RATE EXTENSION_. FEE _ TOTAL' 2888 TON OUTGO MSW 0.000 000 000 000 Operating hours 7:00 AM to 5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.-' 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY'' '' -TENDERED,' CHANGE :_= °CH O. ." SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15-42 NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO R MATERIALS BEING SHIPPED AND DOES NOTi4SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �) LA. I .� �I �- SHIP DATE: COMMODITY SHIPPED: M ��W i LOOSE: :J (CU YDS) I BALES: (COUNT): TRUCK WEIGHT: ? GROSS TARE �-76 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 ter_ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) �/TRANSPORTER TRANSPORTATION/FREIGHT CO. / r` TRUCK NO. % LICENSE NO/STATE: TRAILER NO. rr ` LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED;4BOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: / (PRINT NAME) (SIGNATURE) DESTINATION y qAt1i5 V� v DISPOSAL LOCATION: `- ` DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAUHAS 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; a TICKEIr " •GRID WEIGHMASTER **DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315328 Dan 6155 Cox Lane, PO Box 962DATE IN DATE OUT _TIME IN TIME OUT '='VEHICLE ROLLOFF Cutcl46gue, NY 11935 09/08/17 09/08/17 13.48 13.48 11 121TC 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 68740 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY; UNI _= DESCRIPTION =RATE EXTENSION FEE TOTAL 16.23 TON UTGO.CONST-CONTRACT 0 000 0.00 000 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 =- � p' ' 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR�DAY'`� r``'l�� �f y 3�' �� 9 -�iJ' TENLIERED �6 CHANGE CHECK N0 SIGNATURE SI7E TICKEr=_, ;_-GRID:; WEIGHMASTER,. ""DUPLICATE TICKET"' _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01315328 Dan 6155 Cox Lane, PO Box 962 'DATE IN DATE OUT ` ;TIME IN TIME_ OUT VEHICLE ROLL_OFF Cutchogue, NY 11935 , 09/08/17 09/08/17 13:48 1348 11121T 009306 Town of Brookhaven Waste Manag �. One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt 68740 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY -UMT PTION; __ = ­-RATE EXTENSION FEE TOTAL 1623 TON OUTGO.CONST-CONTRACT 0.000 0.00 000 000 tri c�srj r - i Operating hours 7:00 AM to 5 00 PM 7 days a weekg > CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.� N` t 0.00 "TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY' CHANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 9 NO. Islandia, NY 11749 '4r (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS: COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 4r � ''�'r 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 UAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE'L•AW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) %'(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.- ` TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL WAS PICKED UP AT-THE GENERATOR SITE LISTED ABOVE, AND THAT IT-WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION 91 x _ y DISPOSAL LOCATION: V � d 1 '.�r F` �'bATE 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 GRip WEIGHMASTER- SOUTHOLDJOWN DEPT SOLID WASTE 01 01315220 MC 6155 Cox Lane, PO BOX 962 pA7E_IN DATE.OUT,-, TIME-{N TIME OUT-- VEHICLE' ROLL,DFF Cutchogue, NY 11935 09/08/17 09/08/17 09:10 09.11 111 14T 009316 Town of Babylon REFERENCE •. Manual Gross Wt 74000 LB Outbound-Charge ticket Manual Tare Wt 36000 LB No lAh"r,ht spnnn LB QTY. - UNI DESCRIPTION RATE EXTENSION FEE' `TQTAL 1900 TON OUTGO MSW 0 000 000 000 000 1' Operating hours 7.00 AM to 5.00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED NOTES. EST FROM 9/5 NO SCALES c ANGE -CHECK SIGNATURE SITE - 71CKET_ GRI17 WEIGHMASTER! SOUTHOLD TOWN DEPT SOLID WASTE L01 01315220 MC 6155 Cox Lane, PO Box 962 DATE IN= DATE OUT-' TItNE 1N TIME Ot17 VEHICLE RZ)LLOF1 ' Cutchogue, NY 11935 09/08/17 09/08/17 09'10 09'11 111 14T 009316 Town of Babylon ORIGINREFERENCE Manual Gross Wt 74000 LB Outbound-Charge ticket Manual Tare Wt 36000 LB QTY. UNI , -DESCRIPTION 13A7E: EXTENSION FEE TOTAL 1900 TON OUTGO.MSW 0.000 000 0.00 000 4 4 Operating hours 7:00 AM to 5 00 PM 7 days a week.. , Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY' TENDERED,,- NOTES: ,NOTES: EST FROM 9/5 NO SCALES CHA CHECK NO. SIGNATURE CKNO:SIGNATURE { TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1, 5 37 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: 10[A-1 1 �� �.. ! 1 N SHIP-DATE: COMMODITY SHIPPED: LOOSE: ` I V (CU YDS) BALES: (COUNT): �-- TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. Tf-i IQ / �/ ��OJ TRUCK NO. �� LICENSE NO/STATE: TRAILER NO. 1 l ? LICENSE NO/STATE: 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: (PRINT NAME) (SIGNATURE) DESTINATION I `` DISPOSAL LOCATION: G ,if f�nj 1 A I �(\ 1°� / LCA N� 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 iltlEiGHMASTEFt **DUPLICATE TICKET** r� SOUTHOLD TOWN DEPT SOLID WASTE 01 01315241 Dan .6x155�C� Lane, PQ BOX 962 DATE IN DATE,OUT TIME IN TIMEDUT VEHICLE.;_ RQLLOFFy Cutchogue, NY 11935 09/08/17 109/08/17 1014 110:14 11 121T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 103620 LB Outbound- Charge ticket Manual Tare Wt 38700 LB QTY. UNI - DESCRIPTION RATE ' EXTENSION FEE TOTAL_ _ 32.46 TON OUTGO.MSW 0 000 000 000 000 Operating hours 7.00 AM to 5 00 PM 7 days a week`:' • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685:. , 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED' CHANGE .- - CHECK O. =_ SIGNATURE **DUPLICATE TICKET** slrE ; T1eKEfi 4115iNEIGtIMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01315241 Dan 6155 Cox Lane, PO Box 962 DATE W `,;DAT_E OUT _-TIME IN -TIME OUT' VEHICLE ROLL OFF Cutchogue, NY 11935 09/08/17 09/08/17 10.14 1014 F11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 103620 LB Outbound-Charge ticket Manual Tare Wt 38700 LB QTY._ UN _ DESCRIPTION'-,° - T(ATE EXTENSION - FEE :TOTAL 3246 - TON OUTGO.MSW 0 000 000 0.00 0.00 w Operating hours 7.00 AM to 5 00 PM 7 days a week,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. y 000 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED GRAN E-_ , CHECK O. v,= SIGNATURE NO , 8078 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: ' COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: } 3j GROSS TARE ca`'�•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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION,PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICt{ET :_ GRID ;_ WEIGHMASTER� "DUPLICATE TICKET" _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01315218 MC 6155 Cox Lane, PO Box 962 DATE IN DATE 0UT.'.. TIME!N,TIMD-OUT VEHICLE ROLLOFF Cutchogue, NY 11935 09/08/17 09/08/17 09:07 09:08 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt. 69540 LB Outbound-Charge ticket Manual Tare Wt 1 36600 LB -QTY 'UNI DESCRIPTION" _ ',RATE _ EX ENSIGN; FEE. TOTAL 1647 TON Single Stream Recycl 15 000 24705 000 24705 Operating hours 7`00 AM to 5 00 PM 7 days a week_ • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 24705 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED,". Ir CHECK O. SIGNATURE -SITE_ TICKET_ - GRID WEIGHMASTER,- "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315218 MC 6155 Cox Lane, PO BOX 962DATE IN . --DATE_ Ot1T TIME-44 TIME OUT VEFIICLI~' Cutchogue, NY 11935 09/08/17 09/08/17 0907 09.08 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 69540 LB Outbound-Charge ticket Manual Tare Wt 36600 LB QTY` Uaii _ DESCRIPTION -., RATE ° _ EXTt tlSl()N, J FEE _ - TOTAL.:=' 16.47 TON Sinlgle Stream Recycl 15.000 247.05 0.00 24705 Operating hours 7.00 AM to 5.00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:` 24705 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED` CHANGE ­ciqEcKNO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1541 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIAL'S BEING SHIPPED AND DOES NOTA SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH,MATERIALS. COMPANY: , w C3 t'; 1 SHIP DATE: COMMODITY SHIPPED: fl-c C't + LOOSE: -' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` GROSS ` TARE , . .� NET 1 HEREBY,CERTIFY THAT THE ABOVE NAMED'MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR.PART 260.10 OR ANY, APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261,OWANY 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) ,rte (SIGNATURE). TRANSPORTER TRANSPORTATION/FREIGHT CO: TRUCK NO. LICENSE NO/STATE: TRAILER NO. r c3 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. . rte. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL.LOCATION: ' DAT_ E 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 . TICKkT_ GRID '_, WEIGHMASTER'., SOUTHOLD TOWN DEPT SOLID WASTE 01 01315189 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE.1N_ -'=DATE OUT TIME IN TIME out VEHICLE 09/08/17 09/08/17 07:28 0728 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE I m" Farmingville NY 11738 Scale 2 Gross Wt 67960 LB Outbound-Charge ticket Manual Tare Wt 35500 LB Net Weight 32460 LB `QTY - UNIT DESCRIPTION RATE,_ EXTENSION' FEE TOTAL 1623 TON OUTGO.CONST-CONTRACT 0 000 000 000 000 Operating hours 7.00 AM to 5 00 PM 7 days a week • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685.' 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY TENDERED'. CHANGE CHECK SIGNATURE :j **DUPLICATE TICKET** SITE -=T{CKtT GRItI WEIGHMASTER = ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01315189 MC 6155 Cox Lane, PO BOX 962 DATE IN' DATE OUT TIME IN. TIME OUT" _ -VENICt ROLL OFF„ Cutchogue, NY 11935 09/08/17 09/08/17 07:28 0728 11 121T 009306 Town of Brookhaven Waste Manag One Independence HIII REFERENCE O- IGIN Farmingville NY 11738 Scale 2 Gross Wt 67960 LB Outbound-Charge ticket Manual Tare Wt 35500 LB Net Wei ht 32460 LB QTY UNIT DESCRIPTION=„ - 'RATE EX7ENS1ON FEE . .; _ "TOTAL`' - 1623 TON OUTGO CONST-CONTRACT 0.000 000 000 000 Operating hours 7.00 AM to 5.00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY. n 'TENDERED' CHECK-114 o:.,: SIGNATURE NO. 8077 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f GROSS -a - TARE _ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET__== GRID`-`~ '"'`WEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01315446 Steph DATE IN DATE OUT 6155 Cox Lane, PO BOX 962 , - j, ,„, TIM &I NY 11935 E iOFF," ra TIME OUT ,"3FVEHIC,LIE >�oLL +' 09/09/17 09/09/17 09:21 109:21 111 14T 009316 Town of Babylon REFERENCE �. C I Scale 2 Gross Wt 90060 LB Outbound- Charge ticket Manual Tare Wt. 36820 LB QTY --UNIT-, —=`=- DESCRIPTION ___ RATE, _k EXTENSION -_=-="FEE TOTAL 26.62 TON OUTGO MSW 0 000 0.00 0.00 000 „ � 3 .y • ,7 1 4 1 1 f Operating hours 7°00 AM to 5:00 PM 7 days a week. `` ,»' 'A`' r' �i CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.gip, ,` 0.00 ;1° ' ','TENDERED° NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR,DAY`' k ,:y} CHANGE CHECK NO SIGNATURE SITE . TICKET GRID,;e. - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315446 Steph 6155 Cox Lane, PO BOX 962 =DATE IN `DATE OUT TIMEN ITIME OUT ' _=VEHICLE ' ?';ROLL'OFF- _ Cutchogue, NY 11935 09/09/17 09/09/17 09:21 0921 11 114T 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt 90060 LB Outbound-Charge ticket Manual Tare Wt. 36820 LB DESCRIPTION :`-`_RATE,, EXTENSION” < "FEE' =-_TOTAL' 26.62 TON OUTGO MSW 0 000 0.00 000 000 ti� aqy f o t , Ilk Operating hours 7:00 AM to 5 00 PM 7 days a week, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' � � `' - ''b=� 0 00 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAYS �' ?ENDERED a' -,CHANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1543 Islandia, NY 11749 Ar (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: 0 �' ' t U (— 1) SHIP DATE: l ! COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: GROSS ;. TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261,013 ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) � _ (SIGNATURE)— - TRANSPORTER TRANSPORTATION/FREIGHT CO. 'F -T C TRUCK NO. G---% LICENSE NO/STATE: TRAILER NO. 01 I LICENSE NO/STATE: S -le HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LI�ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: � .. (PRINT NAME) (SIGNATURE) �l DESTINATION DISPOSAL LOCATION: ''����!� 1 l"�` ,e f ` " J DATE DELIVERED: ADDRESS: d 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, �7ICKET GRID WECGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE _ 01 01315417 Steph 6155 Cox Lane, PO Box 962 _ ,DATEIN -DATOUT 7IMEIN`TIMEOUT -,VEHICLE I ROLLOFF. Cutchogue, NY 11935 09/09/17 09/09/17 8:06 08:06 19606TC 009316 Town of Babylon REFERENCE . Scale 2 Gross Wt 89080 LB Outbound- Charge ticket Manual Tare Wt 35540 LB 4TH UNIT DESCRIPTION` ' RATE =EXTENSION 'FEE TOTAL 26.77 TON DUTGO MSW 0 000 0.00 000 0.00 Operating hours 7 00 AM to 5`00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED ; • _. RANGE- - ,: CHECK SIGNATURE SITE 1ICKET GRID• WE[GHMAS rER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315417 Steph 6155 Cox Lane, PO Box 962 DATE IN,- DAT E_-OUT TIME W=TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 09/09/17 09/09/17 08.06 "0)6TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt 89080 LB Outbound-Charge ticket Manual Tare Wt 35540 LB QTY UNI - DESCRIPTION._ RATE EXTENSION :FEE _ TOTAL 2677 TON OUTGO.MSW 0 000 000 0.00 0.00 - Operating hours 7`00 AM to 5 00 PM 7 days a week d111111111110EAV"05 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED' CHECK NO'. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road - NO. 15-50 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: =' LOOSE: (CU YDS) " BALES: (COUNT): TRUCK WEIGHT: c 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) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. - LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENTTO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO =SITE -__' -TICKET,_ GRID , - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316050 Steph 6155 Cox Lane, PO Box 962 , DATE IN DATE.OUT` ._TIME IN. TIME OUT =VEHICLE_ ' ROLL-OFF` Cutchogue, NY 11935 09/11/17 09/11/17 15.10 15:10 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill t •. Farmingvllle NY 11738 Scale 2 Gross Wt. 55720 LB Outbound-Charge ticket Manual Tare Wt 35540 LB QTY `_< UNIT '" DESCRIPTION;`_ EXTENSION- 1009 _ _ = RATE EXTENSION- FEEF TOTAL , 10 09 TON Single Stream Recycl 15.000 151 35 0.00 151 35 Operating hours 7.00 AM to 5 00 PM 7 days a week', `=1 ,. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685", 151.35 -TENDERED NEXT HOLIDAY` MONDAY, SEPTEMBER 4TH, LABOR,DAY- = CHANGE CHECK NO. SIGNATURE SITE TICKET=- GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316050 Steph 6155 Cox Lane, PO BOX 962 =DATE IN DATE OUT TIME;IN; TIME OUT 'VEHICLE. ` ROLL OFF Cutchogue, NY 11935 09/11/17 09/11/17 15:10 15:10 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 55720 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Kill f\A/Pinhf gnign I R 7 -'=;,QTY. -__ UNIT - _'DESCRIPTION RATE EXTENSIOfd_-- FEE TOTAL`` 1009 TON Single Stream Recycl 15.000 151 35 0.00 151.35 Operating hours 7 00 AM to 5.00 PM 7 days a week: ~, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:1=-% :- -' r� j'< 151 35 __TENDEREDr DAY NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR` HECK,NO. !' SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15 ,93 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: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `% GROSS ` TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS-DEFINED BY 40 CFR PART 261,OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER - TRANSPORTATION/FREIGHT CO.' TRUCK NO. LICENSE NO/STATE: TRAILER,NO. ' LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS " DELIVERED WITHOUT INCIDENT TO THE DESTINATION-LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION - DISPOSAL LOCATION: T DATE DELIVERED: ADDRESS:, I.HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BESTOF 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 a WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316004 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT V_EHIC�E ' ' ROLL.OFE?" Cutchogue, NY 11935 - ' 09/11/17 09/11/17 13`02 13.02 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 73620 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY ;UNIT k DESCRIPTION" RATE EXTENSION,' -"'"FEE`W "TOTAL. 18.67 TON OUTGO.MSW 0 000 0.00 0.00 0.00 r ni lie, ry _ 1 4 Operating hours 7.00 AM to 5 00 PM 7 days a week's p;'„'_ �? -- .`�` - r ,t • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ��=,”,,,, `R'-- __- t.�t r' 0.00 ,r NEXT HOLIDAY` MONDAY, SEPTEMBER 4TH, LABORcDAY` 'i r; ;; :' t`` =TENDERED r^.y 'CHANGE,,-:' CHECK NO SIGNATURE SITE TICKET'' " GRID WEIGHMASTER **DUPLICATE TICKET*'` ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01316004 Steph 6155 Cox Lane, PO Box 962 -,DATE IM DATE OUT TIME IN TIME OUT V VEHICLE ROLL OFF Cutchogue, NY 11935 09/11/17 09/11/17 13:02 1302 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 73620 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY. UNI :DESCRIPTION . RATE .:, EXTENSION z3' FEE- TOTAL 1867 TON OUTGO MSW 0.000 0.00 0.00 0.00 jY Operating hours 7:00 AM to 5.00 PM 7 days a week3 "' - '' '" = • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685f-'­1�`9; ` - ,_., ,,, 00 __-TENDERED;--,-_ NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�-DAYi' CHECK-NO. SIGNATURE TRINITY TRANSPORTATION CnRPORATION 214 Blydenburgh Road NO. 1-547 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 NOT1 SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: J 0 (A--I' s'1 L SHIP DATE: COMMODITY SHIPPED: ' LOOSE: d ', (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY, APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURES `,TRANSPORTER } TRANSPORTATION/FREIGHT CO.r 1 I r^j I 111 ` TRUCK NO. LICENSE NO/STATE: TRAILER NO. 1 _1 LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: } �� (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: Co/+r(I t� jl L� DATE DELIVERED: ADDRESS: ` I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO .,SITE - TICKET' -'' „GRID r ' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01315978 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT „?,VEHICLE.;--, ROLL OFF>° 09/11/17 09/11/17 11 27 11 27 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 88560 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Net Weight 49860 LB QTY._- UNIT DESCRIPTION RATE -- ' EXTENSION _`- FEE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1 No. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY-ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: - -� SHIP DATE: / COMMODITY SHIPPED: LOOSE: i `' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 5 4 } 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 00 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANISPGRTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.' - TRUCK NO. r LICENSE NO/STATE: TRAILER NO. s �' 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. - .51 DRIVER: r %' (PRINT NAME) (SIGNATURE)- DESTINATION DISPOSAL LOCATION: DATE'DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MYKNOWLEDGE-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. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road V NO. 155 Islandia, IVY 11749 F (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT(ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: I ' ' fj (CU YDS) BALES: (COUNT): TRUCK WEIGHT: -' `' _! GROSS `��) TARE - L '--'NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR,ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE-REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) I = / (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. t LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -7-- ' ( 1' r• DRIVER: u ` (PRINT NAME) r: (SIGNATURE) DESTINATION DISPOSAL LOCATION:, v DATE DELIVERED: Jr 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 BITE GRID --WEIGHMASTER "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE L 01315925 Steph 6155 Cox Lane, PO Box 962 DATE IN . DATEoUT_ TIMEIN TIMEOUT VEHICLE ROLLOFF Cutchogue, NY 11935 L 09/11/17 09/11/17 08.52 08:52 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE •- One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 63080 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QTY, UNIT DESCRIPTION RATE EXTENSION FEE . TOTAL _ 1323 TON Single Stream Recycl 15 000 19845 000 19845 t Operating hours 7 00 AM to 5.00 PM 7 days a week';' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 19845 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY " i TENDERED HAG HECK NO. SIGNATURE `SITE TICKET, 'GRID' ' WEIGHMASTER *"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01315925 Steph 6155 Cox Lane, PO Box 962 --DATE INDATE OUT' 'TIME IN-TIME-OUT' VEHICLE _ ROLLOFF Cutchogue, NY 11935 09/11/17 109/11/17 08.52 08:52 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE •- One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 63080 LB Outbound- Charge ticket Manual Tare Wt 36620 LB G11T1! E C IPTfON RATE- -EXTENSION FEE TOTAL.., 13 23 TON Single Stream Recycl 15.000 198.45 000 19845 Operating hours 7:00 AM to 5.00 PM 7 days a week.,`. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABODAY TENDERED R' CEK-NO. "- SIGNATURE TRINITY TRANSPORTATION CORPORATION = 214 Blydenburgh Road 51 Islandia, NY 11749 No. 5 (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: far SHIP DATE: COMMODITY SHIPPED: t LOOSE: (CU YDS) BALES: (COUNT):. TRUCK WEIGHT: '` ' GROSS TARE ("!/ � 1NET 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 ARPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME)'• (SIGNATURE) TRANSPORTER - w - e TRANSPORTATION/FREIGHT CO. ' TRUCK NO. - ut LICENSE NO/STATE: TRAILER NO.' F 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 TO­THEDESTINATION LISTED BELOW. = DRIVER: 41, (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: {aq, : ; -"': 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 71C_KE7 GRID WEtGfiN1AS_7ER ' "DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 01 01315910 _ Steph 6155 Cox Lane, PO Box 962 DATE-IN ,'DATE OUT, -TIME(N, .TIME.OUT VEHtGLE- ROLLOFF Cutchogue, NY 11935It 09/11717 09/11/17 0711 07:11 11114T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 58880 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB QTY ,- UN DESCRiPTtON _ , - `: RATE_ -" _ EX ENSIGN FEE TOTAL 11 30 TON Single Stream Recycl 15 000 16950 000 16950 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 109.50 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY _TENDERED -CHANGE CH ECK NO:' SIGNATURE SITE "f1CKET 'GRID_ WEIGHMASTER "DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE k 01315910 Steph 6155 Cox Lane, PO Box 962 _DATE'IN DATE OUT TIME IN TIME-OUT VEHICLE_ ROLL OFF Cutchogue, NY 11935 09/11/17 09/11/17 0711 0711 11114TC 009306 Town of Brookhaven Waste Manag REFERENCEOne Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 58880 LB Outbound -Charge ticket Manual Tare Wt. 36280 LB QTY = IPTION'78 >_ .,^ RATE: _. 'EXTENSION EEE. _ JT0TAL­ It- TOTAL 11 30 TON Single Stream Recycl 15 000 16950 000 16950 Operating hours 7 00 AM to 5 00 PM 7 days a week , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY" TENDERED' . cHAN --°C EC NO.:..,, SIGNATURE TRINITY'TRANSPORTATION CORPORATION 214 B lydenburgh Road NO. 1544 — 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 NO{ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.O , } p COMPANY: �� � ) P-� �.- Lr � SHIP DATE: COMMODITY SHIPPED: 5� 1 C LOOSE: ) !'; (6U YDS) BALES: (COUNT): TRUCK WEIGHT: 'f" GROSS ^ r r C TARE y� U 0 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 FO/R'TRANSPORTATION ACCORDING TO APPLICABLE'REGULATION f f/ GENERATOR AUTHORIZED_AGENT(PRINT NAME) —' (SIGNATURE) TRANSPORTER u s TRANSPORTATION/FREIGHT CO. 1�- 1�' Ll TRUCK NO. 2- 5 LICENSE NO/STATE: TRAILER NO. 7 cl 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), Ll(SIGNATURE) DESTINATION c_ DISPOSAL LOCATION: 1 DATE DELIVERED:-- ADDRESS: ELIVERED: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 . WEIGNMASTER,- SOUTHOLD TOWN DEPT SOLID WASTE 01 01316206 Steph 6155 Cox Lane, PO BOX 962 DATE,IN, DATE.9UT- TIMEIN: TIMEOUT VEHICLE' ROLLOFFF Cutchogue, NY 11935 09/12/17 09/12/17 13:12 1312 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 88940 LB Outbound-Charge ticket Manual Tare Wt. 35780 LB Weiaht 53160 LB F_-OTY , UNn -DESCRIPTION- _ RATE - EXTENSION FEE _ TOTAL 26.58 TON OUTGO MSW 0 000 000 0.00 0.00 Operating hours 7 00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'DAY TENDERED r' MANGE ' NEC .NO.- � SIGNATURE SITE ' n-;TICKET_ 1, GRIO_ I WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01316206 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT` TIMEIN-TIMEOUT VEHICLE _a. R_oLI OFf Cutchogue, NY 11935 09/12/17 09/12/17 13:12 13.12 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 88940 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY, UNIT --" bESCHIP-TI,ON- = .RATE EXTENSION FEE-- ,TOTAL 26.58 TON OUTGO.MSW 0.000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week.' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED? -. :CHECKhO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1549 y NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEREUPE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOS ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �l7 [tel L l 1 SHIP DATE: COMMODITY SHIPPED: U r LOOSE: u (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �, }' GROSS TARE aI `� NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED-BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) {4 _ --�'" (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. / ' j / TRUCK NO. �-- LICENSE NO/STATE: TRAILER NO. : f 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) /f (SIGNATURE) "DESTINATION i DISPOSAL LOCATION: �' l J- �4�t �/ `� DATE DELIVERED: 2 I ADDRESS: r p 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 i PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1555 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: a r - COMPANY: c SHIP DATE: COMMODITY SHIPPED: LOOSE:. ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` k— " GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME). (SIGNATURE) TRANSPORTER. TRANSPORTATION/FREIGHT-CO. TRUCK NO. 1 LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE`GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT'TO THE DESTINATION LISTED-BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL.LOCATION: = DATE DELIVERED: - ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF'MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *DUPLICATE TICKET" ;T&E `, TICKET ` GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316120 Steph 6155 Cox Lane, PO Box 962 ;DATE IN DATE OUT `TIM IN- TIMEt�tJT•_ VEHICLE ROLLOk-, ' Cutchogue, NY 11935 09/12/17 09/12/17 j09-064 "14TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 74940 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY. UNIT DESCRIPTION ,RATE- - '-_= EXTENSION ' 'FEE TOTAL 1950 TON OUTGO MSW 0.000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED CHANGE" CHECK-NO. SIGNATURE SITE- T{CKE7_ WEiGHMASTER, m "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01316120 Steph 6155 Cox Lane, PO Box 962 DATE IN'- DATE OUT , . TiME-JN TIMEOUT VEHICLE,, "ROLLOFF Cutchogue, NY 11935 09/12/17 09/12/17 0904 09.04 11114T 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 74940 LB Outbound-Charge ticket Manual Tare Wt 35940 LB Kill W—M QTY. UNI- DESCRIPTION• = ,RATE EXTENSION, = FEE TOTAL 1950 TON OUTGO.MSW 0 000 0.00 000 0.00 Operating hours 7.00 AM to 5 00 PM 7 days a week,, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0-00 TENDERED, NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY E KN SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road �!�' .. A 6 Islandia, NY 11749 NO. 5 (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: ` '/ t F [-1 u 77- LSHIP DATE: � i ' COMMODITY SHIPPED: i S� vi / LOOSE: I 0 i : (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR.PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE_L9W HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING O APPLICABLE REGULATION %r r` 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE) TRANSPORTER i TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. H -5 , LICENSE NO/STATE: 1 HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) r ' f' DESTINATION A 11DISPOSAL LOCATION: V -�- DATE DELIVERED: ADDRESS: J { 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= sGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316119 Steph 6155 Cox Lane, PO Box 962 1 -_ - `DATE IN, -DATE"OUT', TIME'W.TIME OUT, VEHICLE ,. u ROLL OFF' , Cutchogue, NY 11935 09/12/17 09/12/17 08°57 08:57 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 94160 LB Outbound- Charge ticket Manual Tare Wt 36620 LB Net Wei ht 57540 LB --z`QTY. UNIT -. DESCRIPTION - _ _RATE . ;EXTENSION - FEE TOTAL 2877 TON OUTGO.MSW 0.000 0.00 000 000 Operating hours 7-00 AM to 5:00 PM 7 days a week.,,, l-- ., - r • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.' 'r' F 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOkDAY?' ;M, =`°TENDERED , CHANGE =--CHECK NO SIGNATURE SITE , „TICKEC,. GELID ; =°WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316119 Steph 6155 Cox Lane, PO BOX 962 =DATE IN vDATEfOUT..• TIME IN-TIME OUT `_=VEHICLE s_.ROLL OFF Cutchogue, NY 11935 09/12/17 09/12/17 08:57 08'57 19606TC 009316 Town of Babylon REFERENCE C ,I. Scale 2 Gross Wt 94160 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Wei ht 57540 LB QTY :`_UNR:" DESCRIPTION _ `_MATE' ° -`-`EXTENSION` -FEE 2877 TON OUTGO.MSW 0 000 0.00 0.00 0.00 Operating hours 7 00 AM to 5:00 PM 7 days a week:,@ =" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685->>;", _.r ;' 0 00 �t,a s ,r TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY,, t a L ° x7777777MANGE CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15 54 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: t .i C SHIP DATE: r' COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 12� TARE 4 Q NET J' 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 X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSQORTATION ACCORDING TO APPLICABLE REGULATION ��r 9 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. c` TRUCK NO. fr, ' 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: r DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST'OF MY KNOWLEDGE THE INFORMATION PROVIDED - - IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO **DUPLICATE TICKET** SITE TICKET` ; ' GRID_, wbbHMASTER=- SOUTHOLD TOWN DEPT SOLID WASTE 01 01316363 Steph 6155 Cox Lane, PO BOX 962 31]ATE IN, DATE OUT'_ TIME IN TIME OUT VEHICLE ROLL OFFf Cutchogue, NY 11935 09/13/17 09/13/17 12:38 12.38 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81700 LB Outbound-Charge ticket Manual Tare Wt. 35900 LB Net Weight 45800 LB QTY' "UNIT = DESCRIPTION = RATE EXTENSION FEE TOTAL 2290 TON OUTGO MSW 0 000 000 000 000 07 41 Operating hours 7.00 AM to 5:00 PM 7 days a week; �':E= `.4t., — f- ' _-`` _�'' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:` "A: 0 00�` -._____-- ��;,�?�.. .�'�' NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOWDAYz `�;;;; ;F `; ` r TENDERED„ CHANGE-'_ CHECK NO.- SIGNATURE SITE TICKET - GRID ; WEIGHMASTER ; **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01316363 Steph 6155 Cox Lane, PO BOX 962 DATE IN " ,DATE OUT TIME,IN. TIME OUT, ,VEHICLE ROIL OFFr''., Cutchogue, NY 11935 09/13/17 09/13/17 12.38 12`38 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 81700 LB Outbound-Charge ticket Manual Tare Wt. 35900 LB Net QTY ,UNIT DESCRIPTION _RATE - `= EXTENSION _ FEE`_, -TOTAL,. 2290 TON OUTGO MSW 0 000 0.00 000 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week-,'. �,':,, »�; R' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 F, -._w_._--';a? 04f 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORvDAW .i n.ENDERED`: z CHANGE CHECKNO.4,"',, SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1,567 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: U L_:� ' SHIP DATE: ! COMMODITY SHIPPED: 11A,J r f LOOSE: (CU YDS) r BALES: (COUNT): _ TRUCK WEIGHT: �� ' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO_. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW. ,. (- DRIVER: (PRINT NAME) G"(SIGNATURE) ` DESTINATION DISPOSAL LOCATION: ill `I 1� 1 i �f 1 �t� �� DATE DELIVERED: f ADDRESS: , f HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE , r-TICKET GRID <WEIGHMAS7ER,,;,= SOUTHOLD TOWN DEPT SOLID WASTE 01 01316327 MC 6155 Cox Lane, PO Box 962 oar"Erni " TIME our DATE`OUT w- TIME] TI VEHICLE,-` ,ROLL"OFF' Cutchogue, NY 11935 09/13/17 09/13/17 10"26 10.26 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 108900 LB Outbound-Charge ticket Manual Tare Wt 36220 LB Ne Wei ht 72680 LB ;QTY. UNIT" _ DESCRIPTION =, RATE EXTENSION- ` .FEE, = TOTAL, 36.34 TON OUTGO MSW 0 000 0.00 0.00 000 ,9 if r 1 1 EE Operating hours 7 00 AM to 5.00 PM 7 days a wee k`= . A ; `��• . .e - :' S f�� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685fv;;, o `- _. r { ,r 0.00 -TENDERED,,,r-:,, NEXT HOLIDAY" MONDAY, SEPTEMBER 4TH, LABOWDAY.' CHANGE 'CHECK NO SIGNATURE SITE =:;TICKET ;r'GRID,' WEIGHmMASTER^f SOUTHOLD TOWN DEPT SOLID WASTE 01 01316327 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME � •" IN TIME OUT - VEHICLE - ROLL OFF Cutchogue, NY 11935 09/13/17 09/13/17 10:26 10"26 19606TC 009316 Town of Babylon REFERENCE •. C I Scale 2 Gross Wt. 108900 LB Outbound-Charge ticket Manual Tare Wt 36220 LB Npt Wpinht 72680 1-6 `'QTY" UNIT,, ,„,. " DESCRIPTION RATE v ,EXTENSION _ FEE TOTAL 3634 TON OUTGO.MSW 0.000 0.00 000 0.00 J-, L j, Operating hours 7.00 AM to 5:00 PM 7 days a week `` -_ ��._ ' ' -.=•- y ' � '� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:=: ,A- P -__._.A f. �q a _ 0.00 TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY CHANGE SIGNATURE' G TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15-59 ' Islandia, NY 11749 r (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: - SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: (��� rf ' �' GROSS_ TARE C NET I HEREBY CERTIFY THAT THE ABOVE-NAMED MATERIAL DOES NOT-CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CER-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) ` 9 _ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f� TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED - IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" -SITE GRID' " WEIGHMASTER — SOUTHOLD TOWN DEPT SOLID WASTE 01 01316308 MC 6155 Cox Lane, PO BOX 962 -,DATE W DATE OUT'-4_-TIME'W_`TIME OUT ,VEHICLE ,v ROLL OFF= Cutchogue, NY 11935 09/13/17 09/13/17 09.14 09:14 11114T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 94660 LB Outbound-Charge ticket Manual Tare Wt 36600 LB Ne!Weinht 580O LB QTY. __= =UNIT =_ "_DESCRIPTION- RATE EXTENSIONS' V- FEE _ TOTAL_ ° 29.03 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7°00 AM to 5.00 PM 7 days a week'". `' - -- ` A.{ CLOSED HOLIDAYS-QUESTIONS CALL 631-73446853 , F' - u i 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR:DAY=" ."$�`;icr�ap `' '' _TENDERED . f CHANGE° _ CHECK'NO SIGNATURE SITE TICKET 3 GRID WEIGHMASTER **DUPLICATE TICKET*` SOUTHOLD TOWN DEPT SOLID WASTE 01 01316308 MC 6155 Cox Lane, PO BOX 962 DATEOUT`- TIME-INTIME = OUT __VEHICLE M ROLLOFF Cutchogue, NY 11935 - 09/13/17 09/13/17 09:14 09'14 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 94660 LB Outbound-Charge ticket Manual Tare Wt 36600 LB QTY UNIT DESCRIPTION-_-, RATE EXTENSION' `=£FEE` - 29.03 TON OUTGO.MSW 0.000 000 000 000 Operating hours 7:00 AM to 5 00 PM 7 days a week" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685",--':,- ,;� ��; ". ;;" 000 ra. TENDERED_ NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR-DAY= CHANGE; "C ECKNO:- ' SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15-6 G 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. � r COMPANY: J�J '� t Q t 1 SHIP DATE: 11 f i COMMODITY SHIPPED: A 5\,-� LOOSE: ) }() (CU YDS) BALES: (COUNT): f� TRUCK WEIGHT: GROSS '7 7 TARE �r 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 ' t TRANSPORTATION/FREIGHT CO. t TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. n' DRIVER: �j (PRINT NAME) fir' (SIGNATURE) f DESTINATION DISPOSAL LOCATION: ,�'`J = ,s'1 "j DATE DELIVERED: ! ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO "*DUPLICATE TICKET"" SITE 'CICKEr' GRiD=;; WEIGHMAST98 4= SOUTHOLD TOWN DEPT SOLID WASTE 01 01316461 MC 6155 Cox Lane, PO BOX 962 DATE IN ` =DATE OUT-�~•TIMEIN, TIME OUT -v6mCLE AgLL.QFFI Cutchogue, NY 11935 09/14/17 09/14/17 08:46 0846 11107TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII •� Farmingville NY 11738 Scale 2 Gross Wt 53760 LB Outbound-Charge ticket Manual Tare Wt. 36300 LB Net Wel ht 17460 LB QTY. . UNIT DESCRIPTION-- - BATE' EXTENSION FEE . _ _ TOTAL - 873 TON Single Stream Recycl 15.000 13095 000 130.95 Operating hours 7 00 AM to 5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 130.95 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED` CHANGE, CHECKNO.::::j SIGNATURE "DUPLICATE TICKET** 311E ` ,TICKET GRIP WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316461 MC 6155 Cox Lane, PO Box 962 [SATE IN". 'DATE OUT I TIME v TIME OUT, VEHICLE, FOLLOW,' Cutchogue, NY 11935 09/14/17 09/14/17 08 46 08 46 11107T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt 53760 LB Outbound-Charge ticket Manual Tare Wt 36300 LB Net Weiaht 17460 I_B .QTY., UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL 873 TON Single Stream Recycl 15.000 13095 000 13095 Operating hours 7:00 AM to 5 00 PM 7 days a week. = • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 130.95 NEXT HOLIDAY' MONDAY, SEPTEMBER 4TH, LABOR DAY' TENDERED:' ' CHANGE", c EC►c NO. 9 SIGNATURE NO. 8225 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CAR@O OR�MAT ERI�AL BEING SHIPPED AND DOES NOT�ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. `$ COMPANY: ti J �_ `r\ SHIP DATE: I COMMODITY SHIPPED: LOOSE: (� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r . ,�'y= GROSS _ TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION,ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. Ll LICENSE NO/STATE: 1 4 f c' TRAILER NO. i ; LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED COVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME)' (SIGNATURE) DESTINATION 14 DISPOSAL LOCATION: .._ 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 GRib" " WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01316508 Pat H 6155 Cox Lane, PO Box 962 _ - = Cutchogue, NY 11935 DATE IN DATE OUT' TIME IN TIME OUT VEHICLE N'ROLL OFP 09/14/17 09/14/17 11:54 11.54 11 107T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE ORIGIN Farmingville NY 11738 Scale 2 Gross Wt 59120 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Wei ht 23580 LB QTY. _UNIT " DESCRI_P.TION RATE -EXTENSION `FEE TOTAL 11 79 TON Single Stream Recycl 15 000 176.85 000 176.85 Operating hours 7:00 AM to 5,00 PM 7 days a week,, s-j l''3 r' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734t7685:a X>; , _ .. �. ;�' 176.85 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR"-DAYS-i^j,`Pr.. ;IDS ? "ri g` ` = =TENDERED y_ -CHANGE SIGNATURE ECK NO��j SITE TICKET "GRIP,„GRID, = WEIGHMASTER ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01316508 Pat H 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN-TIME OUT VEHICLE `_--ROLL OFF Cutchogue, NY 11935 - 09/14/17 09/14/17 11.54 1154 11 107T 009306 Town of Brookhaven Waste Manag •. One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 59120 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Weight 23580 LB ='Q-ry, UNCI'° "DESCRIPTION ' ,'--RATE' 'EXTENSION ': FEE' MTOTAL 11.79 TON Single Stream Recycl 15 000 176.85 000 176.85 Operating hours 7 00 AM to 5:00 PM 7 days a week r '�v V�R- ._r%,r ; 1 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,,-r , `'' _,_ o r 176.85 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'DY'=r _Ar \"Y.,a_aq�' " �yr CHANGE,' ---IHECK NO-::::j SIGNATURE NO. - 8226 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO,OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. r COMPANY: \ '� ; � `t - I - 1 t4 SHIP DATE: ! COMMODITY SHIPPED: FN LOOSE: ? t- `' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' GROSS TARE r ' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. i LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LI$,TED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ;�:` (SIGNATURE) DESTINATION/ DISPOSAL LOCATION: t�tKDATE 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 DISPOSALLOCATION TICKET NO. C: SITE I TICKET= GRID _ WEIGHMASTER "`DUPL; TE TICKET" 01316599 MC iSOUTH� TOWN DEPT SOLID WASTE 016153 Cone, PO Box 962 DATE IN, DATE OUT _TIME IN_ TIME O_UT VEHICLE__' ROLL OFE' Cutchogue, NY 11935 09/15/17 09/15/17 0724 07.24 11107T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 63800 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Net Weight 27520 LB my. `UNIT _' " DESCRIPTION RATE EXTENSION = < FEE TOTAL ' 1376 TON OUTGO.CONST-CONTRACT 0 000 0.00 0.00 000 f ' 3 "J 0, IJ0 Operating hours 7.00 AM to 5.00 PM 7 days a week`4 ;;a �, `�== �' ® ` 7 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851' 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR�DAY# ark/c�,f,,I.i -g, `��a �r,r' .TENDERED ICH NGE 1L CHECK NO 9 SIGNATURE :SITE -` TICKET- GRID =- WEIGHMASTER "DUPLICATE TICKET"` SOUTHOLD TOWN DEPT SOLID WASTE 01 01316599 MC 6155 Cox Lane, PO BOX 962 DATE tN DATE OUT _ ,TIME-INTIME QP =VEHICLE` _ `•ROLL-OFF Cutchogue, NY 11935 09/15/17 09/15/17 0724 0724 11107TC 009306 Town of Brookhaven Waste ManagREFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63800 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Net Weiaht 27520 IB QTY =` - UNIT DESCRIPTION = RATE EXTENSION` _ FEE - TOTAL= 13.76 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 f t f F Operating hours 7:00 AM to 5.00 PM 7 days a wee ``:, a.l>`- >- k" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,¢ ,- _ .._ ° ji 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOWDAY r '� a n, �j �`<_ T TENDERED. tiw •CHANGE, -CHECK'NO7777-11 SIGNATURE NO. 8227 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH,MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: L LOOSE: ` ` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS y' TARE 7�'`.,,,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 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) l� (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.. � i zi ` a TRUCK NO. I LICENSE NO/STATE: TRAILER NO. ~r LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 1� r DRIVER: —� `.' f'-''`�// (PRINT NAME) { ` (SIGNATURE) f" DESTINATION DISPOSAL LOCATION: /J } I ` `f'�. i��' N DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFOP IS TRUE AND ACCURATE: RECEIVED BY: _ AUTHORIZED AGENT(PRINT NAME) SIGNATU` KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATIr "`DUPLICATE TICKET"` SITE ''TICKE' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316628 MC 6155.Cox I_ar,,, PO BOX 962 ` .DATE IN DATE OUT,-- TIME IN- TIME OUT VEHICLE ROLL OFA Cutchogue, NY 11935 09/15/17 09/15/17 10.09 1009 11 107T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 86640 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 50380 LB CITY. _- UNIT DESCRIPTION _' RATE EXTENSION - ,= FEE TOTAL' 25.19 TON OUTGO,MSW '0000 000 0.00 000 Operating hours 7:00 AM to 5.00 PM 7 days a week'-- CLOSED eek'sCLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851:11, 000 A K� NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR,DAY '(r�`_,�; IgK-;� =P .� ' TENDERED ` '� 1 CHANGE -CHECKNO'° SIGNATURE SITE TICKET GRID WEIGHMASTE_R "''DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01316628 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT- = TIME IN, TIME-OUT -;VEHICLEz= ROLL OFF Cutchogue, NY 11935 09/15/17 09/15/17 10.09 10:09 11 107T 009316 Town of Babylon REFERENCE O. IGIN Scale 2 Gross Wt. 86640 LB Outbound-Charge ticket Manual Tare Wt 36260 LB QTY UNIT DESCRIPTION` RATE EXTENSION ' FEE-= _ TOTAL 25.19 TON OUTGO MSW 0 000 000 0.00 000 Operating hours 7.00 AM to 5:00 PM 7 days a week:' ,��, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685" ��`` --.� - }' 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAYS ,?, s"� �_ t,r , TENDERED i�� --CHANGE �f ECK NO- SIGNATURE TRINITY TRANSPORTATION CORPORA'T'ION 214 Blydenburgh Road 156 9 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: SHIP DATE: 1 COMMODITY SHIPPED: .� l LOOSE: 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '�s't_J GROSS TARE �>6,,�f 6 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10,OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED;BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) '(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. f 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: "---�-.o °`~ ' (PRINT NAME) (SIGNATURE) r DESTINATION DISPOSAL LOCATION: VA 1\ y A �—M }J y L�3 � DATE DELIVERED: ADDRESS: \ + HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SITE TICKET_-' _,` GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316789 Steph 6155 Cox Lane, PO BOX 962 DATE IN _ DATE OUT TIME IN TIME OUT ,VEHICLE,;` ROLL OFF Cutchogue, NY 11935 09/16/17 09/16/17 0814 08.14 19606TC 009306 Town of Brookhaven Waste Manag One Independence HIII REFERENCE ORIGIN Farmingvllle NY 11738 Scale 2 Gross Wt 57900 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB Net Weight 21620 LB ;QTY UNIT '"DESCRIPTION _=_ RATE EXTENSION. FEE _`_ TOTAL 10.81 TON Single Stream Recycl 15 000 16215 0.00 16215 rV V Operating hours 7.00 AM to 5'00 PM 7 days a week; 'it t._ �,`® . j .f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;5 162.15 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOWPAYr` �� :�;.an y TENDERED :.,. CHANGE' ' ­C EGK N0.';, ', SIGNATURE "DUPLICATE TICKET" SITE _.-TICKET_ _ GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316789 Steph 6155 Cox Lane, PO BOX 962 _ DATE IN. DATE OUT,,_ =TIMEIN TIMEOU_T VEHICLE_ ROLLOFF Cutchogue, NY 11935 09/16/17 09/16/17 0814 0814 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII ORIGIN Farmingvllle NY 11738 Scale 2 Gross Wt 57900 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Net Wel ht 21620 LB QTY _ UNIT DESCRIPTION ;'RATE EXTENSION=,. FEE' `'_ TOTAL--'- 10.81 TON Single Stream Recycl 15.000 16215 0.00 162.15 I f cv Operating hours 7.00 AM to 5`00 PM 7 days a weeks �`" ,� _° K <�" a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76856- 162.15 ti j, NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABODAYV2 u 1.,;, O ;, roL ;;f _TENDERED CHANGE SIGNATURE �f HECK,NO. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 155-7 Islandia, NY 11749. 2 (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. a x 3 COMPANY: SHIP DATE: 't COMMODITY SHIPPED: 4 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '5 c� ' GROSS G TARE ') d (.p? L- ET 1-HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE,STATE LAW;IS NOT HAZARDOUS WASTE AS DEFINED.BY 40 CFR PART•261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR NG TO,APPLICABL•E REGULATION. - GENERATOR AUTHORIZED AGENT(PRINT NAME) "' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO." TRUCK NO. _ "{ LICENSE NO/STATE: TRAILER NO. , LICENSE.NO/STATE: I HEREBY CERTIFY THAT THE'ABOVE NAMED MATERIAL WAS PICKED UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS- DELIVERED WITHOUT INCIDENTJO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: - DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE�ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF,MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND-ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT-NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO Slti" „ TiCKET _ _ GRtO i WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01316840 Steph 6155 Cox Lane, PO Box 962 - - CUfchogue, NY 11935 P/TEft __ ;DATE-Quit;`,'TIME,IN t1ME.6UX VEHICLE. ROLLOFF ,,­ 09/16/17 09/16/17 1043 10.43 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 82780 LB Outbound-Charge ticket Manual Tare Wt 35780 LB Net Weight 47000 LB F__0T,y___7 UNIT,' DESCRIPTION," -"RATE. EXTENSION' FEE_ TOTAL 23.50 TON OUTGO.MSW 0 000 000 0.00 0.00 Operating hours 7'00 AM to 5 00 PM 7 days a week. . • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR'DAY' TENDERED CHANGE C-ECKNO.= .- SIGNATURE SITE '""TICKET"` GRID `wEIGHMASTER:» SOUTHOLD TOWN DEPT SOLID WASTE 01 01316840 Steph 6155 Cox Lane, PO Box 962 °t)AtE iN DATE°Q6 TIMEIN T1ME,0UT VEHICLE ROLI`pFF Cutchogue, NY 11935 - 09/16/17 09/16/17 10.43 1043 19606TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 82780 LB Outbound-Charge ticket Manual Tare Wt 35780 LB Net Welaht 47000 LB QTY.; -" '_ UNIT DESCRIPTION. = RATE. EXTENSION "FEE TOTAL',"w`- 23 50 TON OUTGO MSW 0.000 000 0.00 000 Operating hours 7:00 AM to 5 00 PM 7 days a week, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY . . 'TENDERED' C EO O. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road No. 15-5-9 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 H MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r ( S? L) GROSS -M , TARE L.;' "`;� !✓ C� NET I HEREBY CERTIFY'THAT THE ABOVE`NAMED MATERIAL DOES NOT-CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR.ANY APPLICABLE STATE LAW,HAS BEEN.RROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGU ATION r 4 GENERATOR AUTHORIZED AGENT(PRINT-NAME) (SIGNATURE) TRANSPORTER - TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. - n LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-WAS PICKED-UP--AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION -- DISPOSAL LOCATION:" ' " DATE-DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE,BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET' SOUTHOLD TOWN DEPT SOLID WASTE 01 01316778 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 09/16/17 09/16/17 07.21 0721 11 107T 009316 Town of Babylon �~ . Scale 2 Gross Wt 71500 LB Outbound- Charge ticket Manual Tare Wt 35940 LB Net Weight 35560 LB 1778 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7 00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY "DUPLICATE TICKET'" SOUTHOLD TOWN DEPT SOLID WASTE 01 01316778 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 09/16/17 09/16/17 0721 0721 11 107T 009316 Town of Babylon Scale 2 Gross Wt 71500 LB Outbound-Charge ticket Manual Tare Wt 35940 LB Net Weight 35560 LB 1778 TON OUTGO MSW 0 000 000 0.00 000 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY i TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15 9 Islandia, NY •11749 _ ,� ,_ NO. (631) 342-9673 �y THIS-MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NO >ASSUME•ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: CIN U I SHIP DATE: a j COMMODITY SHIPPED: v LOOSE: (CU YDS) BALES: (COUNT):- TRUCK WEIGHT: ' GROSS L# TARE ' b 0 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 X40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY DESCRIBED,.CLASSIFIEDAND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TO APPLICABL-E-- E6UL`ATION ' GENERATOR AUTHORIZED AGENT(PRINT NAME)- , (SIGNATURE) TRANSPORTER ,- (,_",E , TRANSPORTATION/FREIGHT CO: 1 ' ``-) L rl TRUCK NO. L' 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) ,f (SIGNATURE) DESTINATION a DISPOSAL LOCATION: i, V/ . � r # ( r ~' DATE DELIVERED:- ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED • IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO *"DUPLICATE TICKET"" SITE, TICkET, 1 1 _GR1p W-ElGHMASTEI - SOUTHOLD TOWN DEPT SOLID WASTE 01 01317270 Steph 6155 Cox Lane, PO Box 962pAT iN DATE OUT. CIMS IN TIME Out VEHICLE ROLL OFF ,Cutchogue, NY 11935 W - 09/18/ 7 09/18/17 07:14 01=1 107TC 009306 Town of Brookhaven Waste Manag REFERENCE O. IGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 55720 LB Outbound- Charge ticket Manual Tare Wt 36620 LB QTY.-' UNI -DESCRIPTION_ _ RATE EXTENSION - -FEE TOTAL. 955 TON Single Stream Recycl 15 000 14325 000 143.25 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 14325 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR�DAY TENDERED -CHAN CHECK-NO.- SIGNATURE HEC -NSIGNATURE SITE fICtCET, GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317270 Steph 6155 Cox Lane, PO Box 962 DATE IN, DATE OU7 'TIME IN'TIME OUT VEHICLE,, EaOLL-OFF Cutchogue, NY 11935 09/18/17 09/18/17 07.14 07:1411107TC 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 55720 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QTY. UN DESCRIPTION RATE EXTENSION. FEE ''TOTAL 955 TON Single Stream Recycl 15.000 14325 000 14325 Operating hours 7.00 AM to 5.00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 14325 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY TENDERED SIGNATURE TRINITY TRANSPORTATION CORPO PION 214 Blydenburgh Road 1,571 NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO O MATERIALS BEING SHIPPED AND DOES NOT`A\SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f COMPANY: c) L.. 1 3 SHIP DATE: COMMODITY SHIPPED: LOOSE: { C? (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `� / { GROSS C� o TARE I 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-TRA�SPORTATION ACCORDING TO APPLICABLE-REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER , TRANSPORTATION/FREIGHT CO. f`- i TRUCK NO. c'l LICENSE/ TRAILER NO. c) ✓ LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS- DELIVERED WITHOUT INCIDENT TO.THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: I l C� I i A\/ DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION _ GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE ' TICKET -GRID "wEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01317292 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUTTIM_E IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/18/17 09/18/17 08.58 08:58 19606TC 009306 Town of Brookhaven Waste Manag One Independence HIII t Farmingville NY 11738 Scale 2 Gross Wt. 65460 LB Outbound- Charge ticket Manual Tare Wt. 36220 LB Ki. Wninkf 9Q)An IR ' ",TOTAL DESCRIPTION =EXTENSION 'FEE UNI = 14.62 TON OUTGO.CONST-CO NTRACT 0.000 000 000 000 UL s X47 Operating hours 7.00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOFR�DAY a"J;i » ''? TENDERED CHANGE-- CHECK HANGE-CHECK NO SIGNATURE SITE =TICKET GRID'- WEIGHMASTER--- SOUTHOLD TOWN DEPT SOLID WASTE 01 01317292 Steph 6155 Cox Lane, PO BOX 962 RATE IN DATE OUT TIME IN-=06TC EHICLEf," ROLL,OFF, Cutchogue, NY 11935 09/18/17 09/18/17 08.58 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 65460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY 1 " =DESCRIPTION RATE EXTENSION' FEE TOTAL_"=- _ 1462 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 000 14 p 6 l � • Operating hours 7.00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685` —J- 0-00 TENDERED NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR,DA CHAN E- HECK, O: , SIGNATURE �f TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 No. 5 5'9 �_ (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: �'� ( I f SHIP DATE: I i' COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE..LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR'P/1RT-261 OR,�NY APPLICABLE STATE LAW.,.NAS PEEN PROPERLY• DESCRIBED,CLASSIFIED AND PACKAGED.AND'IS IN PROPER CONDITION FOR P TRANSPORTATION ACCORDING TO LICABL�E REGULATION d GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) t TRANSPORTER - TRANSPORTATION/FREIGHT CO., TRUCK NO: = LICENSE NO/STATE- TRAILER NO. ` ` "r LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP AT-THE GENERATOR-SITE-LISTED,ABOVE.- AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ' DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ ;, " / DATE DELIVERED: ADDRESS: - I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED_ BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15 72 Islandia, NY 11749 �,► NO. (631) 342-9673 THIS MANIFEST IS FOR REFERENCS PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT I� SLIME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: � l �+ �` �' �-�--�� SHIP DATE: f COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` i " GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261-OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. �- TRUCK NO. LICENSE NO/STATE: TRAILER NO. ,� t LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW , DRIVER: (PRINT NAME) (SIGNATURE) _ DESTINATION DISPOSAL LOCATION: - l # - DATE DELIVERED: r ' ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED" IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO -SITE -TICKET GRID :WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317347 Steph 6155 Cox Lane, PO Box 962 'DATE IN DATE OUT TIME iN TIME OUT :VEHICLE I ,ROLL.OFF Cutchogue, NY 11935 _ 9/18/1709/18/17 11.43 11.43 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt 79240 LB Outbound-Charge ticket Manual Tare Wt 35540 LB QTY UNI DESCRIPTION. - RATE EXTENSION , FEE TOTAL ' 21 85 TON OUTGO MSW 0 000 000 000 0.00 r Operating hours 7.00 AM to 5 00 PM 7 days a week F.' - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685' ' NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR-DAY TENDERED CHECK NO. SIGNATURE SITE TICKET - GRID' =- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317347 Steph 6155 Cox Lane, PO Box 962 DATE IN_ ,DATE:OUT- TIME IN =19606TC VEHICLE. -ROLLibFF - Cutchogue, NY 11935 09/18/17 09/18/17 1143 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 79240 LB Outbound-Charge ticket Manual Tare Wt 35540 LB - RATE EXTENSION NFEE _ TOTAL - 21.85 TON OUTGO MSW 0 000 000 0.00 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week'= CLOSED HOLIDAYS-QUESTIONS CALL 631-734-1685- n NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR'DAY a TENDERED:" GHA G °GHE No.- SIGNATURE TRINITY TRANSPORTATION CORPORATION- 214 Blydenburgh Road �NO. .5 6 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: :i= SHIP DATE: COMMODITY SHIPPED: ;- LOOSE: y (CU,YDS) BALES: (COUNT): _ TRUCK WEIGHT: '1 ��'�- GROSS I (', TARE f�C" NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,'IS NOT HAZARDOUS WASTE"AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APP IMB-tE REGULATION GENERATOR AUTHORIZED`AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER = TRANSPORTATION/FREIGHT CO. r TRUCK NO-. LICENSE NO/STATE: TRAILER NO. f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR-SITE LISTED ABOVE, AND THAT IT-WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION,LISTED BELOW: DRIVER: _ (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED-AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET_ n, G_R_iD WEI6HMASTE71 ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317380 Steph 6155 Cox Lane, PO Box 962 -[TATE"TN_ DA"I CIUT-, TIME IN TIME OIIT-.; VEHICLE ROLL OFF Cutchogue, NY 11935 _ ' 09F18/17 09/18/17 13:07 13-07 11107TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 66260 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB QTY UNI DESCRIPTION = RATE -''EXTENSION FEE TOTAL 1499 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7-00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 <. 0-00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED" CHANGE; CHECK-N0: �j SIGNATURE SITE_-- TICKET_ GRID_ _ 1NEIGHMASTER _ *"DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317380 Steph 6155 Cox Lane, PO Box 962 DATE IN, ' DATE OUT TIME IN, TIME OUT -VEHICLt-' ROLL OFF, Cutchogue, NY 11935 09/18/17 09/18/17 13:07 13.07 11 107T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 66260 LB Outbound- Charge ticket Manual Tare Wt. 36280 LB QTY - -, UNt DESCRIPTION" RATE..,. EXTENSION - FEE TOTAL, 14.99 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. n no NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED CHANGE SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road: 15 74 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 L, COMPANY: � G, 0 1 1 o £- u SHIP DATE: � � b COMMODITY SHIPPED: I /A C V"j P LOOSE: ! Lt �J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t ' '- c-) GROSS m,; ) C} TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO-APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.- TRUCK O.TRUCK NO. c{ LICENSE NO/STATE: + a TRAILER NO. 1 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,-AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: 'To(L� - (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: /, f " / ` t� 8 � DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE-ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO SITE TICKET GRID WEIG'MASTER';, SOUTHOLD TOWN DEPT SOLID WASTE 01 01317553 Steph 6155 Cox Lane, PO Box 962 DATE-IN DATE OUT, TIME IN„TI'MEOUT, VEHICLE ROLLOFF, Cutchogue, NY 11935 09/19/17 09/19/17 113:46 113 46 1 11 107T 009316 Town of Babylon 4REFERENCE .- Scale 2 Gross Wt. 81880 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY ', UN- = DESCRIPTION 'RATE EXTENSION FEE = TOTAL' 22.97 TON DUTGO.MSW 0 000 000 000 000 tf Z i I f N ,d Ei Operating hours 7`00 AM to 5 00 PM 7 days a week', `_• ' 3'y CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '` — 41n on NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'D'A.Y {a','t `"' � 'v, TENDERED CHANGE' CHECK NO SIGNATURE SITE °- TICKEf7` GRID •=_ WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01317553 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT :-TIME IN TIME OUT VEHICLE` `- ROLL__ OFF Cutchogue, NY 11935 09/19/17 09/19/17 113.46 11346 11107TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 81880 LB Outbound-Charge ticket Manual Tare Wt 35940 LB SRIPTION.QY - FEETTOTAL. 22.97 TON DUTGO MSW 0 000 000 0.00 0.00 Operating hours 7:00 AM to 5.00 PM 7 days a week °oro r CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 a 00 „ c, NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR'I7AY.< '`•.;}` � ? is` TENDERED CHANGE '-CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1575 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 NO• AS// UMEj -7 ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: () (It ) F 10 L t # SHIP DATE: 1 COMMODITY SHIPPED: m -5 V'/ f f LOOSE: J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '` GROSS t c 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 TRANSPORTATIO(J ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) i (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ) TRUCK NO. -4 �1 LICENSE NO/STATE: TRAILER NO. 11 -5 LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: f (PRINT NAME) /'/ (SIGNATURE) DESTINATION jJ DISPOSAL LOCATION _,k\ A ) 13 A )-"o� DATE DELIVERED: GI ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE•THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"' SITE ?- TICKET„ GRID ,` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317538 Steph 6155 Cox Lane, PO Box 962 DATE IN = DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/19/17 09/19/17 12.19 12.19 19606TC 009316 Town of Babylon - REFERENCE �. l Scale 2 Gross Wt 91600 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QTY ' UN, DESCRIPTION ' RATE'_''_` 'EXTENSION FEE' TOTAL 2749 TON DUTGO MSW 0.000 0.00 000 000 tj VN dom0milly Owe Operating hours 7 00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 0-00 /• a,. � r` =TENDERED, NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR D'AY' ' ,' '': CHANGE CHECK NO =- SIGNATURE SITE TICKET±_ GRID 'WEIGHMASTER "DUPLICATE TICKET" ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01317538 Steph 6155 Cox Lane, PO Box 962 `DATEIN•, DATEOUT', TIME'IN TIM_EOUT VEHICLE ', , i, ROLLOFF Cutchogue, NY 11935 09/19/17 09/19/17 12.19 11219 19606TC 009316 Town of BabylonREFERENCE ORIGIN 2 Gross Wt. 91600 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QTY. N DESCRIPTION _ RATE, EXTENSION _ FEE, TOTAL 27.49 TON DUTGO MSW 0 000 0.00 0.00 0.00 Operating hours 7:00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 TENDERED NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAYAp . }off CHECK NO.,:.� 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: t SHIP DATE: f COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ! (r GROSS f, ,`z CJ 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 X40 CFR PA5.T.26-_0_R ANY APPLICABllSTgTE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR'TRANSPORTA'TION.AGCORDIN_GZ0,9PP_LICABLE REGULATION. - GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO: LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT.TO THE DESTINATION LISTED BELOW. r" DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION 4 DISPOSAL LOCATION: r 1` 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 GRIDS — WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 01 01317504 Steph 6155 Cox Lane, PO Box 962 bATE IN °DATE OUT TIME IN TIME-OUT ." 'VEHICLE ROLL OFF Cutchogue, NY 11935 09/19/17 09/19/17 09.36 09.36 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII .0 Farmingvllle NY 11738 Scale 2 Gross Wt 64820 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY,' UNI "',,,,", ,�^r, DESCRIPTION', RATE:' - °°EXTENSION. FEE^„H, TOTAL 1452 TON OUTGO CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a weeks °�' "` ”%' u I r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 t'--�fTENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOReDAY t=. "''.,•.••' CHANGE CHECK NO. SIGNATURE E '''TICKET GRID _WEIGHMASTER" SIT ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01317504 Steph 6155 Cox Lane, PO BOX 962 DATEe1N" "'DATE OUTS° -TIME'IN'TIME OUT '��VEHICLE''',_ ROLLOFF Cutchogue, NY 11935 09/19/17 09/19/17 09:36 0936 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE .. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 64820 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY UNI DESCRIPTION RATE_ EXTENSION FEE. =TOTAL 1452 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 ;` ; f a r • Operating hours 7 00 AM to 5 00 PM 7 days a week�,, �:�� � -,,,e�-�,. ,• g; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 °" 'Xn no TENDERED e NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY°' W,";�I w '[CHANGE, r CHECK NO. ==a"- SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1591 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: jSHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: (Z' ' ? 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,�PPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATIO N-ACCORDING TO-APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(P.RINT NAME) "- (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. a LICENSE NO/STATE: TRAILER NO. F 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 r DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: v 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 r_ TICKET'- z GRID WEIGHMASTE,R,-„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01317498 Steph 6155 Cox Lane, PO Box 962 DATE IN; DATE OUT TIMEIN'JIMEOUT . VEHICLE; y ROLLOFF- Cutchogue, NY 11935 - 09/19/17 09/19/17 09.19 0919 11107TC 009306 Town of Brookhaven Waste Manag �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 53840 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY UNI. -= DESCRIPTION RATE- _-, EXTENSION =_ -FEE , —TOTAL 878 TON Single Stream Recycl 15 000 131 70 000 131.70 rf - : Operating hours 7`00 AM to 5 00 PM 7 days a week r yr CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685$' gam, 'a - ' " t" 131-70 y;, 9 .,,,.,,, -,TENDERED", 7 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR"DAYS , CHAN E",- - SIGNATURE SITE TICKET 4 „GRID a ',,, ,WEIIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317498 Steph 6155 Cox Lane, PO BOX 962 .DATE IN DATE OUT TIME_IN TIME OUT - VEHfCLE _ ROLL OFF Cutchogue, NY 11935 09/19/17 09/19/17 0919 0919 11107TC 009306 Town of Brookhaven Waste Manag REFER ENCEOne Independence HIII Farmingville NY 11738 FScale 2 Gross Wt 53840 LB Outbound-Charge ticket Manual Tare Wt 36280 LB ,-7-07,y, ; UNI ;,,` DESCRIP,TION RATE= EXTENSION I't 175150 -, FEE — --TOTAL 878 TON Single Stream Recycl 15 000 131.70 000 131.70 ^rY;^7,.... # Operating hours 7.00 AM to 5 00 PM 7 days a weeks rf CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 1 - g`@, � ' 131.70 c aa' `,TENDERED" NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORLDAW i. 't+;: ,;CHAN E CHE- O^ SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1,573 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 A-SfSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. l ° COMPANY: (J L! ) SHIP DATE: Cl 1 1 7 -C- 1 COMMODITY SHIPPED: ��✓ c- i LOOSE: I O v' (ICU YDS) BALES: (COUNT): TRUCK WEIGHT: ` ' GROSS -3(, 7 TARE J S-G G' NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED;AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT-CO. ) r--lA31 L! TRUCK NO. `� J LICENSE NO/STATE: TRAILER NO. 09 LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS•PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: " ' ' (PRINT NAME) / (SIGNATURE) DESTINATION DISPOSAL LOCATION: 6r60kl-w'vfz-1'j DATE DELIVERED:OCATI NO ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET.- GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317606 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT, TIME IN TIME OUT VEHICLE T ROLL_ OFF, Cutchogue, NY 11935 _ 09/20/17 09/20/17 09'53 09'53 19606TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 76120 LB Outbound-Charge ticket Manual Tare Wt 36200 LB Net Wei ht 39920 LB QTY UNIT DESGRIPTION. "' RATE EXTENSION.`- FEE " TOTAL 19.96 TON OUTGO.CONST-CONTRACT +y 0.000 000 000 0.00 �{fJI o } Operating hours 7'00 AM to 5:00 PM 7 days a week �`�;q � ._,...> ��µ� d • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685!.=7 ., _ 'J 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOReDAY� . „<,. '4 'S _TENDERED. -CHANG&, CHECK NO SIGNATURE SITE TICKET- GRID WEIGH'mS TER" "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317606 MC 6155 Cox Lane, PO Box 962 " DATE IN'` DATE OUT' .TIME IN TIME OUT VEHICLE' `ROLL'OFF' , Cutchogue, NY 11935 09/20/17 09/20/17 09.53 0953 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII ORIGIN Farmingvllle NY 11738 Scale 2 Gross Wt. 76120 LB Outbound- Charge ticket Manual Tare Wt. 36200 LB Net Weiaht 39220 I-B QTY: UNIT DESCRIPTION RATE <_ EXTENSION = FEE TOTAL 1996 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 it Operating hours 7.00 AM to 5 00 PM 7 days a weeK " �`z _ ;`°� # r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685(r'�/ p _- 'fl,,;.' 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABORED Y'` " ; TENDERED`=4 ;� CHECK-NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1593 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: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE 7� .4 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. t TRUCK NO. a LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO SITE I TICKET." GRID,",,;' WEIGHMASTER ; "DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 01317596 MC 6155 Cox Lane, PO BOX 962 DATE IN-- DATE OUT TIME IN TIME OUT VEHICLE _ ROLL OFF§_ Cutchogue, NY 11935 ` 09/20/17 09/20/17 108 40 08.40 1 11 107T 009316 Town of Babylon .. Scale 2 Gross Wt. 83860 LB Outbound-Charge ticket Manual Tare Wt. 35500 LB QTY: UN s DESCRIPTION RATE EXTENSION _ FEE"^ - =''TOTAL 24.18 TON DUTGO.MSW r 0 000 000 000 000 P'yd`•f� ��t 4���;} nLSI'i9�,7tVf� .'r'<f( k"`twp� --7 Operating hours 7:00 AM to 5.00 PM 7 days a week' {- Off` `- 71 ° E � • .., t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768'5 ' "'— 000 TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY$ IIS CHECK NO:» SIGNATURE - _ SITE� ' TICKET- GRID ` ' 1NEIGHMASTER ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317596 MC 6155 Cox Lane, PO Box 962 DAT_E.IN'= DATEOUT v TIME'IN_ TIME'OUT VEHICLE I ROLLOFF_ Cutchogue, NY 11935 ` 09/20/17 09/20/17 08.40 0840 11 107T 009316 Town of Babylon REFERENCE .. Scale 2 Gross Wt 83860 LB Outbound- Charge ticket Manual Tare Wt 35500 LB ,` Mht U RIPTIO RATE EXTENSION z FEE TOTd--- QTY 24.18 TON OUTGO MSW 0.000 000 0.00 0.00 /} - a t S • Operating hours 7.00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY�� r"' 1 d TENDERED CHANGE CHECK NO SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15-7 6' 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: cJ L-n SHIP DATE: COMMODITY SHIPPED: LOOSE: �' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ��'�'�° �3 GROSS `1,_37' 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 PACKAGG�E.-D,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 21 � LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: r HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATORSITELISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENTt TO THE DESTINATION'LISTED BELOW. F DRIVER: (PRINT NAME) �. (SIGNATURE) DESTINATION DISPOSAL LOCATION: t )l�!!%1I >� � . ; _,' it f J 12 DATE DELIVERED: ! ' ADDRESS: r J 1 d 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 TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1577 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 ASOME ANY LIABILITY ASSOCIATED WITH-THE SHIPMENT OF SUCH MATERIAL'S. COMPANY: 1 'VE U SHIP DATE: 2 r COMMODITY SHIPPED: Nj i�_ CIO l' LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �% ` ' GROSS TARE NET I HEREBY.CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY-40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS,IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. r GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 4 � LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: -1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: e' (PRINT NAME) (SIGNATURE) DESTINATION f ' � � 7 DISPOSAL-LOCATION:` _ A ttf) r 1 A -' �T� DATE DELIVERED: � � I ADDRESS:" I HEREBY CERTIFY THAT THE'ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: 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 *'DUPLICATE TICKET" SITE =TICKET` .;GRID._ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317736 MC 6155 Cox Lane, PO Box 962 DATE OUT„ ;, TIME IN TIME OUT-. VEHICLE`--, ,;= ROLL OFF,` CUtChOgUe, NY 11935 ,.., 09121/17 09/21/17 1005 10.05 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket Manual Tare Wt 36300 LB Net Wel ht 39400 LB QTY"', ;H ' UNIT ,°. DESCRIPTION o= RATE EXTENSION_ FEE y"._ti ,TOTAL, s 19.70 TON OUTGO MSW 0 000 0.00 000 000 L Operating hours 7:00 AM to 5 00 PM 7 days a weekC, ms's ��; ;,„4.._ �F a • CLOSED HOLIDAYS-QUESTIONS CALL 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABORc;DAY j , ” 'R z '" �� TENDERED .i CHANGE `C ECK NO. SIGNATURE "DUPLICATE TICKET ` SITE, =_TICKET;; GRID_' ' z WEIi;HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01317736 MC 6155 Cox Lane, PO BOX 962 'DATE IN' ' DATEOUT' ° TIME IN TIMEOUT VEH_ICLE__' .'-ROLLOFF '- Cutchogue, NY 11935 09/21/17 09/21/17 1005 10:05 19606TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 75700 LB Outbound-Charge ticket Manual Tare Wt 36300 LB e Weiaht 39400 LB QTY UNIT' -> - DESCRIPTION -y' RATE` -'' EXTENSION -"_"FEE'=_ "' TOTAL_"_ 1970 TON OUTGO MSW 0 000 000 000 000 Operating hours 7 00 AM to 5.00 PM 7 days a week" "?`-,V\.._ ` ��-% 1 c�,Q r�aY • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685(-'. _ -' ,s�`� 0.00 :� v,, , ;;,,­TENDERED,,, NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABORtDAY ,.s ;9 `�-t , n✓ - - CHANGE- -,CHECK NO:''' -- 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: i_3• SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: -�f GROSS TARE f� 'fir 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) r✓ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO: TRUCK NO. j LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN,ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITEJ` -,:TICKET GRID WEIGHMASTER "DUPLICATE TICKET"` - SOUTHOLD TOWN DEPT SOLID WASTE 01 01317726 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE Ot.1T - TIME IN'TIME OUT-', 'VEHICLE'- VEHICLE - -ROLL OFF`•` Cutchogue, NY 11935 09/21/17 09/21/17 09.21 09:21 11107TC 009306 Town of Brookhaven Waste ManagREFERENCE _ One Independence Hill • Farmingvllle NY 11738 Scale 2 Gross Wt 58640 LB Outbound-Charge ticket Manual Tare Wt 35900 LB Net t Wei ht 22740 LB QTY „UNIT„:, _ DESCRIPTION = RATE= EXTENSION FEE TOTAL 11 37 TON Single Stream Recycl 15 000 17055 000 17055 itl' (if 5 rte _�'��•t'v .... ., {r; S y x'.13 Operating hours 7.00 AM to 5.00 PM 7 days a week; t ; X • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76E ”"'4 =' 17055 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORDAY ;`a `" "TENDERED` m1�p r� -CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET*" SITE TICKET_ GRID"°, "=WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01317726 MC 6155 Cox Lane, PO BOX 962 DATE IN" DATE OUT TIME IN TIME OUT; VEHICLE� ^ ROLL OFF " Cutchogue, NY 11935 - 09/21/17 09/21/17 0921 09:21 11 107T 009306 Town of Brookhaven Waste Manag •, One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 58640 LB Outbound-Charge ticket Manual Tare Wt 35900 LB QTY,,, ;, UNIT; DESCRIPTION _ RATE -, EXTENSION " FEE TOTAL, " 11.37 TON Single Stream Recycl 15.000 17055 000 170.55 �•`.�'0..a� "., ,.:��. II M ff Operating hours 7:00 AM to 5:00 PM 7 days a week'4 ``�� /6 � � • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685x4-2 17055 r ^„ NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY; s gam" TENDERED,,, CHANGE 'CHECK O.t SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1579 8 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: 0 U L`! SHIP DATE: COMMODITY SHIPPED: LOOSE: I Ci t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: c`=f GROSS SIF TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) , (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 r, TRUCK NO. �� LICENSE NO/STATE: TRAILER NO. i .: LICENSE NO/STATE:- 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED'WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ,�` (SIGNATURE) DESTINATION DISPOSAL LOCATION: f /`" DATE DELIVERED: f l ADDRESS: ! z I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE 13EST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317777 Pat H PO Box 962 Cutchogue, NY 11935 09/21/17 09/21/17 12.25 1225 11 107T 009316 Town of Babylon Scale 2 Gross Wt. 70500 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 34960 LB 1748 TON OUTGO MSW 0.000 0.00 000 0.00 Operating hours 7:00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS-QUESTIONS-Call 631-734-7685 0.00 NEXT HOLIDAY: Monday Oct 9-Columbus Day! "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01317777 Pat H PO Box 962 Cutchogue, NY 11935 09/21/17 09/21/17 12:25 12.25 11 107T 009316 Town of Babylon Scale 2 Gross Wt. 70500 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 34960 LB 17.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7.00 AM to 5:00 PM 7 Days per Week CLOSED HOLIDAYS-QUESTIONS-Call 631-734-7685 0.00 NEXT HOLIDAY Monday Oct 9-Columbus Day! TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1-579 NO. Islandia, IVY 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 NOT6ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. � �j COMPANY: tI?;i �yl U SHIP DATE: f COMMODITY SHIPPED: W t t LOOSE: U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �(_% a' r ' 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,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 TO APPLICABLE REGULATION f 7a it GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) �J TRANSPORTER � 1 TRANSPORTATION/FREIGHT CO. � TRUCK NO. 4 e LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT-IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) �' (SIGNATURE) DESTINATION DISPOSAL LOCATION: (1 ,� ,1�� � � 3/,� /', .\/�� ��f� DATE DELIVERED: 91 1 � 1 7- ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION / GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. �' .,SITE -" TICKETt 3 GRID ,WEIGHMASTER **DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 01 01317933 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE R'= ROLL-OFF Cutchogue, NY 11935 09/22/17 09/22/17 11'37 11.37 1111 4T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 87020 LB Outbound-Charge ticket Manual Tare Wt 35800 LB 12 QTY ;UNI DESCRIPTION _- RATE EXTENSION -,-FEE TOTAL 2561 TON OUTGO.MSW 0 000 000 0.00 0.00 Operating hours 7.00 AM to 5:00 PM 7 days a week:,. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`t`/" ,;€ 0.00 ur �_� $ TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOW-DAYf tis k° " CHANGE, CHECK NO SIGNATURE SITE TICKET GRID "•_ WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01317933 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIM_E OUT --VEHICLE ROLL OFF Cutchogue, NY 11935 09/22/17 09/22/17 11:37 11-37 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 87020 LB Outbound-Charge ticket Manual Tare Wt 35800 LB QTY tt� IP.TION RATE 'a"EXTENSION FEE TOTAL' 2561 TON OUTGO.MSW 0 000 0.00 000 0.00 ' b�v a "- uq orf _j7� - Operating hours 7 00 AM to 5.00 PM 7 days a week: CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�- p `� 00 a R:, W ;" TENDERED',: :. NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABORcDAY / CHANGE ' CHECK NO. 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. �7 COMPANY: :V LA—1 SHIP DATE: 9 G 1 COMMODITY SHIPPED: M -)ire j LOOSE: ! 00 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. l� ) 4 (-- 1 A,""� � TRUCK NO. LICENSE NO/STATE: TRAILER NO. �� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE:STED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) f. DESTINATION :: �~ �i -)\ : DATE DELIVERED. . ) 2 2- DISPOSAL LOCATION . 11l �I 1 / ADDRESS: ` HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 3anJ.VN9IS **DUPLICATE ICKET** N DEPT SOLID WASTE 01 01317880 MC 6155 Cox Lane, PO'Box 962 1935 Q9/22/i 71 09/22/17 08.46 0847 111 14T Brookhaven Waste Manag One In ndence Hill Scale 2 Gros Wt 56680 LB: Outbound-Charge ticket Manual TarE Wt 35qOO 'LB, Net Weight 078,0 LB 1039 TON Single Stream F ecycl` 15.000 155.85 0.00 15585 'viol. 334-' NOISN31X3 : 31dt�- "'NOIidIHOS34 : 11Nn_ C70 Operating hours 7 00 AM to 5.00 PM 7 days a w ek. CLOSED HOLIDAY MTIONS CALL 6311:•4 768 15585 NEXT HOLID Y. MONDAY, S PTEMBJR41H, [ABOR DA 33011Ot�,` `31,61W3/Yl Ln03bVfl .N13W11- irtg'aiVa _N1,31VG, 8 31SVU4 H 13Ni QIa, 13N�11 31iS 3an1VNJIS - ** -'ICK ET** N DEPT SOLID WASTE 01 01317880 MC 6155 Cox Lane PO Box 962 eJAY-%�Rb, 11935 09/22/17' 09/22/17 08:46 08:47 111 14T Brookhaven Waste Manag ndence Hill Scale 2 Gros Wt 56,680 LB' Outbound-Charge ticket Manual Tar Wt 35900 LB Net Weight 20780 LB 1039 TON Single Stream F ecycl 115 000 15585 0.00 155.85 '!8101 33j - N0I8N31X3 31t/t3= NOtld!>�OS3Q' 11Nn` O eratin hours 7:00 AM to 5 00 PM 7 daysaw ek CLOSED HOLIDA E=STIONS CALL 631- 34-768 155 85 NEXT HOLID Y- MONDAY, S PTEMB R 4TH, LABOR DA 33011Ot1` 3lOIH3/C iffO UV11 Nl;3KILL Ino 31V(] _N131Va TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 1 5�8 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 NO ASSUME ANY LIABILITY;ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 0 Ix $ 3- 0 0 1 SHIP DATE: . COMMODITY SHIPPED:' LOOSE: ,( ,1 (CU YDS) BALES:(COUNT): TRUCK WEIGHT: ' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN"FREE LIQUID-AS DEFINED-BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OWANY 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` L-1TRANSPORTATION/FREIGHT CO. 9 ti _ 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 ABOVE, AND'THAT'IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW: DRIVER: - (PRINT NAME) // (SIGNATURE) DESTINATION ' DISPOSAL-.LOCATIONHA V E i DATE DELIVERED: C 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 a TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318036 Steph 6155 Cox Lane, PO BOX 962 --DATE IN DATE OUT' -TIME IN TIME OUT __VEHICLE. ;ROLL OFF Cutchogue, NY 11935 09/23/17 09/23/17 07.24 0724 11114TC 009316 Town of Babylon REFERENCE _ Scale 2 Gross Wt 86480 LB Outbound-Charge ticket Manual Tare Wt 36220 LB Ne Weiaht 50260 LB QTY - UNIT DESCRIPTION_ - RATE EXTENSION ; FEE _ _-' TOTAL 25.13 TON OUTGO MSW 0 000 000 000 0.00 rv, Operating hours 7.00 AM to 5:00 PM 7 days a weeks • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-y685`=-"` _ _ } 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY �; TENDERED a� Cr ! CHANGE CHECK NO:" _j SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318036 Steph 6155 Cox Lane, PO BOX 962 '_ DATE IN DATE OUT, .TIME IN•TIM5OUT ,f -V_EHICLEy_ ROLLOFF Cutchogue, NY 11935 09/23/17 09/23/17 0724 07:24 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 86480 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY. '= -UNI DESCRIPTION` -RATE EXTENSION FEE -` TOTAL 2513 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week. �F?. '-` -''` ` <. -" r CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.(617'^ - � n NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR,DAYdi + ' TENDERED. e1" -CHANGE` CHECK NO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15-8 2. 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 ASSGME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCHMATERIALS. COMPANY: i to Lb SHIP DATE: COMMODITY SHIPPED: LOOSE: 0c) (CU YDS) BALES: (COUNT): C TRUCK WEIGHT: ;� ' fir° C� GROSS " ? TARE L 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) C _y '' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ) I tv TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS' DELIVERED WITHOUT-INCIDENT TO THE DESTINATION LISTED BELOW. ' _ DRIVER: -Toc- (PRINT NAME) (SIGNATURE) DESTINATION ' DISPOSAL LOCATION: - j �� � �,ff 7 `t` DATE DELIVERED:,- ADDRESS: ELIVERED:•-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: CCURATE .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,-_ 'T1CKET: GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318577 Steph 6155 Cox Lane, PO BOX 962 - DATE IN� ' DATE OUT- TIME-IN TIME:OUT VEHICLE ROCCOFE.; - Cutchogue, NY 11935 09/25/17 09/25/17 1306 13.06 11114TC 009316 Town of Babylon REFERENCE C I I I Scale 2 Gross Wt 80900 LB Outbound-Charge ticket Manual Tare Wt 35780 LB Ne Weiaht 45120 LB QTY. UNIT -DESCRIPTION, RATE EXTENSION FEE TOTAL_ 22 56 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week: CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 . 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY TENDERED - CHANGE CHECK NO SIGNATURE "DUPLICATE TICKET" $1TETicKEf GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318577 Steph 6155 Cox Lane, PO Box 962 <DATE IN DATE OUT- TIME IN TIME OUT VEHICLE I ROLL OFF Cutchogue, NY 11935 09/25/17 09/25/17 1306 13.06 111 14T 009316 Town of Babylon �. Scale 2 Gross Wt 80900 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY -UNIT- DESCRIPTION - RATE EXTENSION FEE' TOTAL 2256 TON OUTGO MSW 0.000 0.00 000 000 E _ ` Operating hours 7 00 AM to 5 00 PM 7 days a week:' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOWDAY TENDERED " CHANGE CHE NO. SIGNATURE NO. 8.228 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY Y LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ] COMPANY: �_ 11SHIP DATE: 2 t COMMODITY SHIPPED: LOOSE: i-% (CU YDS) BALES: (COUNT): TRUCK WEIGHT: / 6 U GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) e TRANSPORTER o•, IA TRANSPORTATION/FREIGHT CO. ) "$ -'l '-j �' t t TRUCK NO. LICENSE NO/STATE:- TRAILER O/STATE:TRAILER NO. ( J 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: � �E �' 'I DATE DELIVERED: ADDRESS: / 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: 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 - WEtGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318517 Steph 6155 Cox Lane, PO BOX 962 DATE IN: DATE OUT. TIME IN TIME-0QUT _VEHICLE,. ' .`_-ROLLOFF, Cutchogue, NY 11935 09/25/17 09/25/17 09:52 09.52 11114T 009306 Town of Brookhaven Waste Manag REFERENGE One Independence HIII �. Farmmgvllle NY 11738 Scale 2 Gross Wt 63480 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei ht 26860 LB ''QTY. UNIT DESCRIPTION=- - RATE EXTENSION FEE -TOTAL_y 1343 TON Single Stream Recycl 15.000 201 45 0.00 20145 � • `tiY -mak. i�� jL::.- v r °�{�.*",,"}y Operating hours 7.00 AM to 5:00 PM 7 days a week,:" " "" Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76_85.«,�'=`,''`` ; rJ 201 45 t NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOWDA ? 'fid u' ' ^� j TENDERED 'S'�`�t'!it --CHANGE--., CHECK NO SIGNATURE SITE TICKET-: GRID WEtGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318517 Steph 6155 Cox Lane, PO BOX 962 DATE IN _ DATE OUT = TIME IN TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh road NO. 1 S 8 4 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: b�z...i-Ir ! 1 ( 1 3 SHIP DATE: %f f COMMODITY SHIPPED: -D 1 LOOSE: I(CU YDS) BALES: (COUNT): TRUCK WEIGHT: J, GROSS ✓' ` ' t- TARE 0 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) f' �/ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I ti f `d TRUCK NO. ' LICENSE NO/STATE: t TRAILER NO. ; LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. � f DRIVER: -------- (PRINT (PRINT NAME) r' (SIGNATURE) DESTINATION y, t 1' j0 DISPOSAL LOCATION: -In - � ( �( t �J r' DATE DELIVERED: L" t ADDRESS: J � 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 µ_ 0614MASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01318482 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME_IN TIME RO OUT - VEHICLEv �� ' `= °LL OFF" -. Cutchogue, NY 11935 09/25/17 09/25/17 0719 07:19 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 55400 LB Outbound-Charge ticket Manual Tare Wt 35940 LB 'TOT EXTENSION FEE., ALQY DESCRIPTION 9.73 TON Single Stream Recycl 15 000 145.95 0.00 14595 1. A o Operating hours 7 00 AM to 5.00 PM 7 days a week' �� , '. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 >> ' a -a• °° r,TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR-DAYG „, ,;, r� CHECK NO.:q ` ' SIGNATURE SITE ""TICKET 'GRID"` " " ;vJEIGHMASTER_,^" SOUTHOLD TOWN DEPT SOLID WASTE 01 01318482 Steph 6155 Cox Lane, PO BOX 962 'DATE IN" DATE OUT'' TIME;I�N' TIME OUTI, "VEHICLE r ROLL,OFF,. ' Cutchogue, NY 11935 09/25/17 09/25/17 07.19 071911114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 55400 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY UNI DESCRIPTION RATE .-. EXTENSION FEE = TOTAL `- 9.73 TON Single Stream Recycl 15.000 14595 000 145.95 i� �d ate. Operating hours 7:00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685< �. - = �; y TENDERED `> NEXT HOLIDAY° MONDAY, SEPTEMBER 4TH, LABOR-DAY CHANG ,:,,:N CHECK,NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road No. 1583 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. C� E COMPANY: 1 Q SHIP DATE: COMMODITY SHIPPED: F LOOSE: �= (CU YDS) BALES: (COUNT): TRUCK WEIGHT: /— t GROSS i t( c 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 TRANSPORTATI-O-N-�ACC-ORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) . y✓ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2-5 LICENSE NO/STATE: TRAILER NO. j 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 - r i f� I DRIVER: U l ' i art (PRINT NAME) /� /'(SIGNATURE) DESTINATION r DISPOSAL LOCATION: " `'`r dyt �_ r ,�'} t":i '�� DATE DELIVERED: �� 5 ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -SITE T(CKET GRID IWEIGHMA57ER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01318662 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 D,ATEW_.�- `'DA7E'OUT, , T{MEIN.. TIMEOt}T VEHICLE '�. "ROLL OF, 09/26/17 09/26/17 08 51 08.51 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill •� Farmingwlle NY 11738 Scale 2 Gross Wt 73540 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Net Wei ht 34840 LB QTY- UNIT'" DESCRIPTION RATE_ EXTENSION FEE - NOTAL 7 17.42 TON OUTGO CONST-CONTRACT 0 000 000 0.00 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week.-. „ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:. ,, 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR,DAY. TENDERED, CHECK N . SIGNATURE SITE 'TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318662 Steph 6155 Cox Lane, PO Box 962 ,DATEIN-, DATi OUT TIME IN TIME-06T VEHfGLE ROLLOFF Cutchogue, NY 11935 09/26/17 09/26/17 08 51 08 51 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE _ One Independence Hill • Farmingvllle NY 11738 Scale 2 Gross Wt 73540 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Net Wei ht34840 LB QTY :UNIT" ­_ ,_ I - DESCRIPTION RATE EXTENSION, -FEE 7TOTAL 17.42 TON OUTGO.CONST-CONTRACT 0 000 000 000 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ° 000 NEXT HOLIDAY, MONDAY, SEPTEMBER 4TH, LABOR DAY= TENDERED- - HAN E" CH ECK' SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1589 a t 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 ArSSUMEi ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. l 1 ( ` I_ i SHIP DAT M COMPANY: JO '�L E: �� IZ6 ! f COMMODITY SHIPPED: - _ LOOSE: ! ( (CU YDS) BALES: (COUNT): TRUCK WEIGHT: � GROSS TARE C" NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. fes- LICENSE NO/STATE: TRAILER NO. ! c� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) / %' (SIGNATURE) DESTINATION DISPOSAL LOCATION-- �r �`' + t !� �- 'f�.I DATE DELIVERED: Z ( r j ADDRESS: I 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 I GR b', -WEIGHMASTEA SOUTHOLD TOWN DEPT SOLID WASTE 01 01318704 Steph 6155 Cox Lane, PO BOX 962 --DATEIN ` ` DATE OUT -TIME IN TIME OUT „ -,VEHICLE _ ROLL OFR , Cutchogue, NY 11935 09/26/17 09/26/17 11.28 11:28 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE _ One Independence Hill • Farmingvllle NY 11738 Scale 2 Gross Wt 65100 LB Outbound-Charge ticket Manual Tare Wt 35540 LB et Weiaht29560 LB QTY. UNIT DESCRIPTION -RATE" EXTENSION. FEE. - 'TOTAL. 1478 TON OUTGO CONST-CONTRACT 0 000 0.00 0.00 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week.. _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_ 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR,DAY TENDERED " -CHECK NO.'= SIGNATURE _j SITE TICKET= GRID- W£IGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318704 Steph 6155 Cox Lane, PO Box 962 DATE'iN DATEOItt ,__ TIMEIN`_1iN1E0UL NEHICL>~ ROLLOFF, Cutchogue, NY 11935 09/26/17 09/26/17 11.28 11.28 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 65100 LB Outbound- Charge ticket Manual Tare Wt 35540 LB N t Wpinht 2q56n 16 F QTY.' UNIT '-DESCRIPTION -,RATE EXTENNSION- -FEE TOTAL 1478 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR'DAY TENDERED . . '.CHECK O: SIGNATURE y-+ TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1 5-9 G � r 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: 3 COMPANY: 0 LA-v �� L i ) SHIP DATE: ct COMMODITY SHIPPED: c d LOOSE: ( (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' GROSS TARE NET I HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED:AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING'TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME), (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. �` LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL'WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) // (SIGNATURE) �J DESTINATION 1 1 f� 1 G� DISPOSAL LOCATION: (� t1 Y ;'� �✓ { DATE DELIVERED: f 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'.a ",TICKET GRiD M' VEIGHMASTER.:' SOUTHOLD TOWN DEPT SOLID WASTE 01 01318748 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE IN— DATE OUT 71ME.tN-TIME DUT YEI`ICI.E ROLLOFE�`;;; 09/26/17 09/26/17 1353 13'53 111 14T 009316 Town of Babylon REFERENCE O. IGINr Scale 2 Gross Wt 87100 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Ne Wel ht 51160 LB 4TY, ',' UNIT, DESCRIPTION ,RATE EXTENSION -FEE _ TOTAL 25.58 TON OUTGO MSW 0 000 000 000 000 Operating hours 7.00 AM to 5.00 PM 7 days a week.' VA LA LA LA LA CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 - ' y._ 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED . CHANGE'.-- _ C E NO. SIGNATURE SITE n TICKET? "-' -'GR16VOGHMASTik SOUTHOLD TOWN DEPT SOLID WASTE 01 01318748 Steph 6155 Cox Lane, PO BOX 962 =DATE IN- DATE OUT TIME IN-TIMEOUT VEHICLE -ROLL.OFF Cutchogue, NY 11935 09/26/17 09/26/17 13'53 113,53 11114TC 009316 Town of Babylon REFERENCE ORIGIN C I Scale 2 Gross Wt 87100 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB QTY,, UNIT; DESCRIPTION._ ,_' RATE EXI ENS10N" FEE,-- 2558 EE,__2558 TON OUTGO.MSW 0 000 000 0.00 000 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR 1DAY "TENDERED SIGNATURE TRINITY T12ANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1,591 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFEREN,,CE 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: V LAT I ! (, i..-,b SHIP DATE: COMMODITY SHIPPED: .}"'t,5 w LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 'r `" GROSS it Lt 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 FOANSPORTATION ACCORDING TO APPLICABLE REGULATION -t GENERATOR AUTHORIZED AGENT(PRINT NAME). (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 't LICENSE NO/STATE: HEREBY CERTIFY THAT-THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.,,ABOVE, AND-THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: 1 (PRINT NAME) (SIGNATURE) DESTINATION ' i DISPOSAL LOCATION: rwlo� A ; �11 V t. �` DATE DELIVERED: ADDRESS: r ! r l HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED` IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET-" GRID_ wEIGHMASTER`_' " "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01318826 MC 6155 Cox Lane, PO BOX 962DATE IN DATE OUT TIME IN TIME OUT' VEHICLE: ROLL OFF_ Cutchogue, NY 11935 09/27/17 09/27/17 08.44 08.44 11114TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 80520 LB Outbound- Charge ticket Manual Tare Wt. 36600 LB QTY UNIT DESCRIPTION RATE _ EXTENSION FEE TOTAL - - 21 96 TON OUTGO MSW 0 000 0.00 0.00 0.00 Operating hours 7.00 AM to 5 00 PM 7 days a week, � ,w� . . ` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E: 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORtDAYT� 'r, ""moi ' TENDERED CHANGE- - I = CHECK N0 SIGNATURE "*DUPLICATE TICKET"* SITE TICKET- GRID ` WEIGHM_ASTER , SOUTHOLD TOWN DEPT SOLID WASTE 01 01318826 MC 6155 Cox Lane, PO Box 962 DATE IN ;• DATE'OUT- , ,T,IMEpIN,r TIM_ E OUT „°„, VEHICLE”,I" ,ROLL OFF,' Cutchogue, NY 11935 09/27/17 09/27/17 08.44 08 44 11114TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 80520 LB Outbound-Charge ticket 77 Manual Tare Wt 36600 LB QTY. UNIT DESCRIPTION' RATE •` -EXTENSION FEE = TOTAL 21 96 TON OUTGO MSW 0 000 000 0.00 000 t r Operating hours 7 00 AM to 5 00 PM 7 days a weeks ;< `� b _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685... " '`z -' ., �f{}d 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR"DAY # ,,. :¢ TENDERED° �'• �. '. CHANGE' CHECK'NO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 159 Z 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 NOTTSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: j COMMODITY SHIPPED: LOOSE: 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: /i`% ice GROSS -�'lz �- 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 /' / 1L_ C'����...-sem_.--'•r _ _ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. tt- 1 t I TRUCK NO. tom-- 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 INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: u (PRINT NAME) (SIGNATURE) Co V /� DESTINATION •, F DISPOSAL LOCATION: (`` DATE DELIVERED: ADDRESS: f 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„ ;' WEIGNMASTER` SOUTHOLD TOWN DEPT SOLID WASTE 01 01318912 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT `TIME IN TIME,OUT =VEHICLE RQLL FF Cutchogue, NY 11935 09/27/17 09/27/17 11244 12.45 1 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 95300 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Net WeI ht 56600 LB QTY. - ,. =UNIT DESCRIPTION RATE = EXTENSION FEE `_ " TOTAL 28.30 TON OUTGO MSW 0 000 000 000 000 •;gip s �/_/.'' \., �f s .4 w4 f L.� Operating hours 7 00 AM to 5:00 PM 7 days a week,"- CLOSED eek "- CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e4 __ :. 0.00 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR,DAY � � .; ' -- TENDERED CHANGE ,. CHECK NO SIGNATURE *'DUPLICATE TICKET" SITE - TICKET = GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01318912 MC 6155 Cox Lane, PO Box 962 DATE IN DATE OUT =TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 09/27/17 09/27/17 12:44 1245 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 95300 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Ne Weiaht 5Q600 LB QTY -=UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 2830 TON OUTGO MSW 0 000 0.00 000 0.00 Operating hours 7.00 AM to 5"00 PM 7 days a weeks � � a �- ...--7 ' { i • ' 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY'z v :, � -" "4-TENDERED, = - J✓ CHANGE CHECK-NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. -1593 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 NO{ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. C- p % COMPANY: `--) ) 1 D �- f SHIP DATE: ` + ' rIvil COMMODITY SHIPPED: r LOOSE: I (> (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS J 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.ANDISIN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. `' ] TRUCK NO. LICENSE NO/STATE: TRAILER NO. r ? LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND'THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) y (SIGNATURE) DESTINATION DISPOSAL LOCATIOI 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- - WEfGHMAS7ER "DUPLICATE TICKET* ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01319006 MC 6155 Cox Lane, PO Box 962 PATE IN =DATE OUT TIME IN TIME-OUT VEHIC7E _ RQLLOFFw Cutchogue, NY 11935 09/28/17 09/28/17 0843 0843 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 60200 LB Outbound- Charge ticket Manual Tare Wt 35780 LB QTY UNI DESCRIPTION RATE EXTENSION -- FEE" _ TOTAL 12.21 TON Single Stream Recycl 15 000 183 15 000 18315 Operating hours 7 00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 183.15 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR AY TENDERED _ ` ANGEr CHECK-NO. NO..,. , SIGNATURE SITE ' TICKE'T ," 6RD- WEIGHMAS'TER'. , —DUPLICATE TICKET* SOUTHOLD TOWN DEPT SOLID WASTE 01 01319006 MC 6155 Cox Lane, PO Box 962 DATE,IN-J- DATE OUT_ TIME IN 71ME.OUT VEHICLE,;'= 'ROLL OFF- Cutchogue, NY 11935 09/28/17 09/28/17 0843 0843 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE .. One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 60200 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY', UNI, :- '-,' DESCRIPTION'- - RATE EXTENSION FEE TOTAL 12 21 TON Single Stream Recycl 15 000 183 15 000 18315 Operating hours 7 00 AM to 5 00 PM 7 days a week' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 183 vi NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY° TENDERED," CHECK O. SIGNATURE - TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 5 No. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTA SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: CAT Ll 0 SHIP DATE: Lerc COMMODITY SHIPPED: --% --' `- i LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' Ui -' GROSS TARE 4. 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 �` CO. B TRUCK NO. 2, LICENSE NO/STATE: TRAILER NO. I i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS-PICKED UP AT•THE GENERATOR SITE LISTEDiABOVE, AND THAT IT WAS' ` DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) +, ' (SIGNATURE) e 1101, DESTINATION DISPOSAL LOCATION: `� ` �' i �f e DATE DELIVERED: ADDRESS: - I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED•ANDTO 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. SITEI-z, TICKET_- - GRID WEIGHMASTER - ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01319045 MC 6155 Cox Lane, PO BOX 962 `. DATE;IN DATEOUT TIME IN-TIMEOUT VEHICLE 'ROLLOFF Cutchogue, NY 11935 09/28/17 09/28/17 11.22 11.22 11114T 009306 Town of Brookhaven Waste ManagREFERENCE ORIGIN One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 67040 LB Outbound-Charge ticket Manual Tare Wt 35500 LB 4EXTENSION,° < TOTALQ , 15.77 TON OUTGO CONST-CONTRACT 0.000 0.00 000 000 a2z- Operating hours 7 00 AM to 5:00 PM 7 days a week's CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76815,: ,�,,, — } 0-00 C s�l r 7 a rua g� TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY ' sr � -CHANGE CHECK NO'_ SIGNATURE SITE T_ICKEt- '- GRID'°'° _* - .VVbdHMASTER( "*DUPLICATE TICKET'" SOUTHOLD TOWN DEPT SOLID WASTE 01 01319045 MC 6155 Cox Lane, PO Box 962 'DATII DATE OUTTIME'IN TIME_-OUT `+r,:VEHIGLE'- "ROL[OFF Cutchogue, NY 11935 09/28/17 09/28/17 11'22 11:22 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 67040 LB Outbound-Charge ticket Manual Tare Wt 35500 LB FQTy. UN - DESCRIPTION ht RATE _ EXTENSION -- __ FEE =- TOTAL 1577 TON OUTGO CONST-CONTRACT 0.000 000 0.00 0.00 IV e Operating hours 7 00 AM to 5.00 PM 7 days a week. CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 ,�� `,�_ a a- .. - 1• , ya�v � cTENDERED - NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAYS x= q f � '2„°"✓'., '_>.t ;CHANGE _` -CHECK NO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 5 NO. Islandia, ICY 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 N7ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 7 COMPANY: ( O t 1 �,j U L 1} SHIP DATE: Ci COMMODITY SHIPPED: LOOSE: C1 U (CU YDS) RALES: (COUNT): / TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME), (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. fi ;/ L-`/ —� TRUCK NO. Z LICENSE NO/STATE- TRAILER NO. f? LICENSE NO/STATE: e HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE.LISTED AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: / (PRINT NAME) f/ (SIGNATURE) DESTINATION fl�U U G V `� T IV RED: r J U DISPOSAL LOCATION. _ DATE DEL E ! ADDRESS: f 1 1 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 v DISPOSAL LOCATION TICKET NO °SITE[ TICKET' vGRID` n, �WEIGHMASTER, "DUPLICATE TICKET" ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01319094 Pat H 6155 Cox Lane, PO Box 962 DATE IN DATE OUT' 'TIME IN TIME OUT " °VEHICLE ROLL_ OFF,-Lr Cutchogue, NY 11935 - 09/28/17 09/28/17 1357 13.57 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 94900 LB Outbound-Charge ticket Manual Tare Wt 36600 LB 1158300 LQT:Y ° UNIT_} DESCRIPTION' - - - 'RATE- 'EXTENSION = 'FEE_" `_'° "'=TOTAL 2915 TON OUTGO MSW 0 000 000 000 000 Operating hours 7,00 AM to 5 00 PM 7 days a week.= TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15 9 6 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: UyA t I—1 U L11, SHIP DATE: COMMODITY SHIPPED: M LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f ..47 rGROSS TARE ':�;!2 air 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. L) J TRUCK NO. G- LICENSE NO/STATE: TRAILER NO. I �) ;� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) rP DESTINATION DISPOSAL LOCATIN: VA/\Jl j lDATE DELIVERED: ADDRESS: e � , 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 *DUPLICATE TICKETs = GRID= „. `.`•,N•_,, , 1NEIGHMASTER,. c SOUTHOLD TOWN DEPT SOLID WASTE 01 01319165 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT. TIME IN TIME OUT -' VEHICLE. ;_• , . w.,v .,ROLL OFF' , Cutchogue, NY 11935 09/29/17 09/29/17 0847 08`47 111"14TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence HIII CE Farmingville NY 11738 Scale 2 Gross Wt. 62840 LB Outbound-Charge ticket Manual Tare Wt 35900 LB Net Weiaht 26940 LB QTY' UNIT' DESCRIPTION RATE EXTENSION ', FEE"' TQTAL 1347 TON 3ingle Stream Recycl 15.000 20205 000 202.05 tar', 24 tea:=- 4" C,, ••�',4 {I� ,. i 1p� 1v i � .x•I Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 %' a'�� -_' �:, 202.05 „w.. J` , NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR�DAY .' i�j# = `-TENDERED F"`V :z = CHANGE HECK N _ SIGNATURE SITETICKET_ ,_ >'GRID wE!60MASTER '"`DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01319165 MC 6155 Cox Lane, PO Box 962 DATE IN,; DATE OUT; 'TIMEJN TIME.OU,T_ -',VEHICLE,, „ROLL OFF, Cutchogue, NY 11935 09/29/17 09/29/17 08.47 0847 111 14T 009306 Town of Brookhaven Waste ManagREFERENCE �. One Independence HIII Farmingville NY 11738 : Scale 2 Gross Wt 62840 LB Outbound-Charge ticket Manual Tare Wt 35900 LB TY, UNh_' DESCRIPTION RATE: , EXTENSION -' „EEE- T6TAL 1347 TON Single Stream Recycl 15.000 20205 000 202.05 Operating hours 7:00 AM to 5 00 PM 7 days a week 's CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 202.05 <` TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABORFDAW 1/'i 4ro ,f . cHAN E CH K O SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 1600 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. I1 COMPANY: 4 >' +�� s- (- )�_' SHIP DATE: COMMODITY SHIPPED: LOOSE: i% (CU YDS) x 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 01j,ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 5 LICENSE NO/STATE: TRAILER NO. ; Z� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIS E ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION.LISTED BELOW: DRIVER: (PRINT-NAME) f� (SIGNATURE). DESTINATIONS DISPOSAL LOCATION: t i` l'4`� 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 01319211 Valerie DeFIo 6155 Cox Lane, PO BOX 962 7 DATE IN, DATE OUT TIME IN TIME OUT VEHICLE-= _ROLL OFF' Cutchogue, NY 11935 09/29/17 09/29/17 11'16 11:16 11114T 009316 Town of Babylon REFERENCE ORIGIN Gross Wt 91420 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 52720 LB QTY. _> -UNIT DESCRIPTION-7 RATE EXTENSION FEE " TOTAL' 2636 TON DUTGO.MSW 0 000 000 0.00 0.00 1� - - � c Operating hours 7.00 AM to 5 00 PM 7 days a week,"" �- ' Y / P :- `�J • �,. .. 000 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 . NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DA s h V, "d � � TENDERED- CHANGE- CHECK NO:4s SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01319211 Valerie DeFio 6155 Cox Lane, PO BOX 962 DATE-IN DATE OUT v `TIME IN-TIME OUT ,VEHICLE',, ROLL OFF , Cutchogue, NY 11935 - 09/29/17 09/29/17 11.16 11.16 11114TC 009316 Town of Babylon REFERENCE Manual Gross Wt 91420 LB Outbound-Charge ticket Manual Tare Wt, 38700 LB NIP \A/Pinht 99720 LB QTY UNI -_ DESCRIPTION '_ RATE EXTENSION FEE =` TOTAL-- 2636 OTAL2636 TON OUTGO MSW 0 000 000 0.00 000 r � f � a Operating hours 7 00 AM to 5.00 PM 7 days a week:;'=. ,,>."a ' _"\': ' - `` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76850.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORDAY `;I,?�(, U -.TENDERED- -­CHANGE TENDERED--CHANGE, HECK`N0: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 1597 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. li 2 1 , COMPANY: �-� '10 LI i SHIP DATE: t COMMODITY SHIPPED: �xI LOOSE: t1 =} (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r GROSS df� / 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 ff � /� � .I �% r �� � ��, (f�. r / f� �, r !I l�'�-'L \,.1 ,p'1 ` • � � � "fes/ � r { GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ✓ TRANSPORTER- TRANSPORTATION/FREIGHT'CO. /f TRUCK NO. y� LICENSE NO/STATE: TRAILER NO. ( 1 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) /f (SIGNATURE) DESTINATION DISPOSAL LOCATION: . ',) l �'� \� ;rr DATE DELIVERED: ADDRESS: � l HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO i —DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01319268 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 09/29/17 09/29/17 1408 14 19606TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingvdle NY 11738 Scale 2 Gross Wt 55240 LB Outbound -Charge et Manual Tare Wt. 35500 LB Net Weight 19740 LB 9.87 TON Single Stream Recycl 15 000 1480 000 14805 Operating hours 7:00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 '~ 14805 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01319268 MC 6155 Cox Lane, PO Box 962 Cutchog'ue, NY 11935 09/29/17 09/29/17 1408 1408 19606TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 55240 LB Outbound- Charge ticket Manual Tare Wt 35500 LB Net Weight 19740 LB 9.87 TON Single Stream Recycl 15 000 14805 000 14805 Operating hours 7.00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 14805 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road No. 1565 Islandia, NY 11749 (631) 342-9673 - THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: � r GROSS TARE NET i I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER - TRANSPORTATION/FREIGHT CO. TRUCK NO. . LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED AND•TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND'ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET -GRID; - = WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01319330 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE O,UT- ,TIME IN TIME OUT VEHICLE `_ , ROLL OFF;, Cutchogue, NY 11935 1, 09/30/17 109/30/17 0727 107.27 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt 97560 LB Outbound-Charge ticket Manual Tare Wt 36220 LB 61340 B UNDESCRIPTION- RATEXTENSION, FEE . :TOTAL 3067 TON OUTGO MSW 0 000 0.00 000 000 Operating hours 7.00 AM to 5.00 PM 7 days a week` s CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 �' :.'` -- ' ��� t '' 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY4 �` #� j M_ TENDERED' a - . CHANGE CHECK NO - SIGNATURE SITE " $` TICKET` - ` 'GRID -_ 1NEIGHMASTER = SOUTHOLD TOWN DEPT SOLID WASTE 01 01319330 Steph 6155 Cox Lane, PO BOX 962 DATE IN £DATE OUT TIME IN TIME OUT VEHICLE _'. ROLL OFF" Cutchogue, NY 11935 09/30/17 09/30/17 10727 10727 11114T 009316 Town of Babylon •- Scale 2 Gross Wt 97560 LB Outbound-Charge ticket Manual Tare Wt 36220 LB TY QESCR ` AIPTION„„ r RATE, EXTENSION FEE:, TOTAL,,. 3067 TON OUTGO MSW 0.000 0.00 000 000 y Operating hours 7.00 AM to 5:00 PM 7 days a weekV, ` =� 1 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-78854x' 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR, AO' TENDERED CHANGE' - CHECK NO:-, SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 15 9 8 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. r� COMPANY: I�b k } Ll 0 L SHIP DATE: COMMODITY SHIPPED: j W r f LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: _7 'GROSS l � r TARE NET I HEREBY CERTIFY THAT THE ABOVENAMED,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 CON DITION'FOR•TRANSPORTATION ACCORDING TO APPLICABLE�REGULATION.' GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: 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. 0 DRIVER: Q- G (PRINT NAME) (SIGNATURE) J DESTINATION\ DISPOSAL'LOCATION: DATE DELIVERED: 1_ ADDRESS: i 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. »SITEC - TICKETS, GRID< WEIGHMASTER` SOUTHOLD TOWN DEPT SOLID WASTE 01 01319416 Steph 6155 Cox Lane, PO Box 962 PATE IN, '-DATE OUT TIME IN TIME OUT VEHICLE a, E= =ROLL OFF Cutchogue, NY 11935 09/30/17 09/30/17 11,28 11 28 19606TC 009316 Town of Babylon s' REFERENCE •- Scale 2 Gross Wt 80860 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB 14 8 QTY­., UN DES_51CRIPTION. ` RATE EXTENSION FEE' F TOTAL-, 22.29 TON DUTGO.MSW 0 000 000 000 000 61 fid 4^~may• jtf� �`t � � �� ' ((YY11ee1i � le i i...w W SIR Operating hours 7 00 AM to 5 00 PM 7 days a week. t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.C� ,', -_ {; 0.00 " ,TENDERED - NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABORb'AY° � I CHANGE" .CHECK NO. SIGNATURE S1TE _- TICKET I GRID = WEIGHMASTER-" SOUTHOLD TOWN DEPT SOLID WASTE 01 01319416 Steph 6155 Cox Lane, PO Box 962 DATE,IN° 3;' DATE OUT TIME IN TIME,QUT. " VEHICLE..' _ ROLL'.OFF z Cutchogue, NY 11935 09/30/17 09/30/17 11-28 11.28 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 80860 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY-,•,' U RIPTIO _ RATE,.= EXTENSION FEE,. - TOTAL--. 2229 TON OUTGO.MSW 0.000 000 000 0.00 V Operating hours 7:00 AM to 5:00 PM 7 days a week.t°, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 tr"Y "-- " '� 4�N000 a :t $+ ;-'_ TENDERED, . NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'°DAY' -CHANGE '-CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh load 15-8 G NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT.TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS COMPANY: -_. SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) SALES: (COUNT): 7 TRUCK WEIGHT: GROSS TARE ' f 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 26LOR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ANSPORTATION ACCORDING TO-APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -' (SIGNATURE) TRANSPORTER- TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT-INCIDENT TOTHEDESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR :f GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.