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Home My WebLink About10/2017 WEIGHMASTE r-SITE I TICKET SOUTHOLD TOWN DEPT SOLID WASTE 01 01319876, Steph 6155 Cox Lane, PO Box 962 7 7'DATE IN �,I -,bATE I OUT -TIMEINITIMEOUTI";,-;,--,-V�H ,!CLE ROLL OFF Cutchogue, NY 11935 10/62/17 110/02/17 14:36 14:36 196"06TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 75040 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB NIP1 Wpinht 39500 1 R TY. DESCRIPTION RATE ExTENSION --FEE TOTAL Q -UNIT, _;� TOJ 19.75 TON OUTGO MSW 0000 0.00 000 000 uvuz' rj L Operating hours 7 OOAM to 5-00 PM 7 days aweek,',. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 N" TENDERED - NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR%DAY'�' -j' 5',"t lz�CHANGE K O.��j SIGNATURE (§ITEI- 1b, WEIGHM ASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01319876 Steph 6155 Cox Lane, PO Box 962 — - DATE IN . RA&E OUT TIME IN-jTiME OUTI VEHICLE ROLL OFF Cutchogue, NY 11935 10/02/17 14.36 14:36 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 75040 LB Outbound-Charge ticket Manual Tare Wt 35540 LB we'vvv4t ' 39 1 R 7 ()TY -UNI D�110 --PATE -EXTENSION, ESCRIPTION :-'"TOTAL"' �-Qlry FEE 19.75 TON OUTGO MSW 0000 0.00 000 0.00 'v' k, x� I Operating hours 7 00 AM to 5.00 PM 7 clays a weeV� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76�35 0.00 JENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�,DAY`-` -�tCHA SIGNATURE HECK NO. TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 - - No. 1 7 (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: V 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 APPLIC'ABLE,STATE LAW,HAS.BEEN PROPERLY DESCRIBED,CLASSIFIED.AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PO TRATION ACCORDING TO APPLICABL-E"RE ULATION. 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* strE Tlctr GFt1D, v+iiGHMasrR SOUTHOLD TOWN DEPT SOLID WASTE 01 01319834 Steph 6155 Cox Lane, PO BOX`962 DATE IN DATE_OUT TIME IN TIMECIUT VEHIC[ ROLL Cutchogue, NY 11935 F,'1..7 10/02/17 1257 12.5-7 11114TC 009316 Town of Babylon •. Scale 2 Gross Wt 85100 LB Outbound- Charge ticket Manual Tare Wt. 36620 LB Nip-. \Ah-0nht 48480 IB =CITY. t1NIT ` - 'DESCRIPTION;, .RATE_ "EXTENSION 'FEE TOTAL - 2424 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 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOWDAY TENDERED- CHANGE CHECK NOr SIGNATURE SITE TICKET _GRID: _ WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01319834 Steph 6155 Cox Lane, PO Box 962 DATE IN =DATE_ OUT_ TIME IN"TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 10/02/17 10/02/17 1257 1257 111 14T 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 85100 LB Outbound- Charge ticket Manual Tare Wt 36620 LB OTY UNI DESCRIPTION= = HATE EXTENSION FES TOTAL 24.24 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7.00 AM to 5 00 PM 7 days a week.R • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 - 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY ' :*TENDERED CHEC O. " SIGNATURE a• N0. 8230 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. L r COMPANY: . ; 1, ti' — ) ' SHIP DATE: COMMODITY SHIPPED: ' i LOOSE: ` • " (CU YDS) BALES: (COUNT): TRUCK WEIGHT: s C GROSS TARE f ° 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 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN PROPERLY`' DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPL'ICABL REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) — w (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , TRUCK NO. LICENSE NO/STATE: ` TRAILER NO. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) % (SIGNATURE) ,_,DESTINATION DISPOSAL DISPOSAL LOCATION: �__.'` - f ! /. r, 1,.• DATE DELIVERED: ADDRESS: l 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: s, 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 CKEf _GR16 __ ' ;wFi6kMASI ER SOUTHOLD TOWN DEPT SOLID WASTE 1 01319772 Steph 6155 Cox Lane, PO Box 962DATEIN,.` DATEOUT TIMEIN T►NIEOUT VEHICLE ROLLOFF - e Cutchogue, NY 11935 _ - 0/02/17 10/02/17 008 0.08 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 67240 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB QTY UN DESCRIPTION.. _ RATE EXTENSION`, _ FEE -TOTAL' ' 1565 TON DUTGO CONST 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- w TENDERED'' CHANGE CHECK NO. SIGNATURE SITE TiCt<Ef _ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01319772 Steph 6155 Cox Lane, PO Box 962 'DATE IN '-DATE_OUT tIM8IN TIME,OUT VEHICLE, R6LL(J F Cutchogue, NY 11935 10/02/17 10/02/17 10.08 1008 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 67240 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY = " DESCRIPTION--LD - ;RATE, ; .. EXTENSION SEE - NOTAL-` 1565 TON DUTGO.CONST 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, THAN 'CHECK NO,, SIGNATURE NO. 8229 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: �1_1(_)I ri I ' f_ )J 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-ANYAPPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING T&APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) t — F (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 r '� DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: �- ,`ru' f' I ' 'r' '.-.- ' DATE DELIVERED: d 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 01319739 Steph 6155 Cox Lane, PO Box 962 DATE-IN7 ,-DATE OUT TIMEIN] TIMEOUT_ z VEHICCF_, ROLL-OFF- Cutchogue, NY 11935 10/02/17 10/02/17 07:23 107:23 111 14T 009306 Town of Brookhaven Waste Manag ORIGIN01 One Independence Hill Farmingvllle NY 11738 Scale 2'Gross Wt 60540 LB Outbound- Charge ticket Manual Tare Wt 38700 LB QTY UNI DESCRIPTION RATE EXTENSION `FEE '' _ TOTAL-��- 10 92 TON Single Stream Recycl 15 000 16380 000 16380 f Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 16380 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY'. TENDERED C ANGE ---CHECK NO. SIGNATURE SITE TICKET ;. GRID_, "WEIGHNIASTER;, SOUTHOLD TOWN DEPT SOLID WASTE 101 01319739 Steph 6155 Cox Lane, PO Box 962 DATE IN DATEOU7 TIME iii TIME-OUT.OUT[ _ VEHICLE_ ROLL OFF' Cutchogue, NY 11935 10/02/17 10/02/17 0723 07.23 11 114T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingvllle NY 11738 Scale 2 Gross Wt 60540 LB Outbound-Charge ticket Manual Tare Wt 38700 LB OTY UNI" DESCRIPTION -. RATE EXTENSION FEE z: TOTAL `, 10.92 TON Single Stream Recycl 15 000 16380 0.00 163.80 Operating hours 7.00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685 _ 16380 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED.' 'O K NO.",," '_ SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 15 9 Islandia, IVY 11749 (631) 342-9673 t 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 1 COMPANY: `�-) C �' } , 'v t— ¢' SHIP DATE: L I d r � f COMMODITY SHIPPED: ff `I• LOOSE: 9 ` (CU YDS) BALES: (COUNT): / �-7 �1 TRUCK WEIGHT: `— GROSS TARE P �L ! NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR,TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. / TRUCK NO. 2, 75, 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: C.. (PRINT NAME) ,,(SIGNATURE) 1 DESTINATION DISPOSAL LOCATION: 1 DATE,DELIVERED: 1 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' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01319938 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT I TIME IN TIME,OUT-_ VEHICLE ROLLOFF Cutchogue, NY 11935 10/03_/17 10/03/17 08:46 08:46 11114T 009306 Town of Brookhaven Waste ManagREFERENCE •, One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt. 55160 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY. UNI DESCRIPTION RATE =EXTENSION FEE_ 'TOTAL= 961 TON Single Stream Recycl 15 000 14415 000 144.15 "T 1 i t'r Operating hours 7:00 AM to 5.00 PM 7 days a week '`r � ` ` �' -- ' `r' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` , ` ---- '.st f (3 144.15 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORNDAY"r ;jr,u`;Ji.° s 4,ij f :_ .TENDERED CHANG CHECK NO SIGNATURE SITE F TICKET, ,, -� ,;=�-,...^, GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01319938 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT__ TIME IN TIME OUT _VEHICLE it" .AOLL-OFF Cutchogue, NY 11935 10/03/17 10/03/17 0846 08:46 11114T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 55160 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY` UNI =., ', _ „_; DESCRIPTION- _ _ „RATE. EXTENSION. y FEE =TOTAL,_r=, ,v 9.61 TON Single Stream Recycl 15.000 14415 000 14415 IL Operating hours 7:00 AM to 5:00 PM 7 days a week"';', CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �gr -� fes`; � 144.15 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORDA rkz ;{, 1n a "s TENDERED=, Kra ? P CHANGES "CHECK: O.' SIGNATURE E NO. 16® 1 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: J COMMODITY SHIPPED: —' s LOOSE: ' `-` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 264-OR-ANY APPLICABLE STATE LAW,HAS BEEN_P.,ROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING_TO APPLICABLE REGULATION E GENERATOR AUTHORIZED AGENT(PRINT NAME)% (SIGNATURE) tTRANSPORTER 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 ABgVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) y� DESTINATION r 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 311 01319961 Steph 6155 Cox Lane, PO Box 962 „„'•DATE IN, F,,DATE OUT ' TIME`IN TIME OUT,---, VEHICLE ; -, � -_ROLL OFF' Cutchogue, NY 11935 0/Q3/17 10/03/17 1:02 1:02 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt. 64920 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB QTY UN T , DESCRIPTION <RATE =-,;EXTENSION FEE TOTAL , 4.32 TON OUTGO CONST-CONTRACT 0 000 0.00 0.00 000 Operating hours 7:00 AM to 5:00 PM 7 days a week ',; `;%;` . '0_ _ '�' y -' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ” 000 =TENDERED "m NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR � 4 �S R CHANGE CHECK N SIGNATURE SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Di 01319961 Steph 6155 Cox Lane, PO BOX 962 - bATE IN DATE OUT TIME IN TIME OUT 'VEHICLE "_ ROLL OFF Cutchogue, NY 11935 10/03/17 10/03/17 1 02 111:02 111 14T 009306 Town of Brookhaven Waste Manag �. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 64920 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB 11f is Net QTY. RATE' EXTENSION FEE = TOTAL UN DESCRIPTION 1432 TON OUTGO CONST-CONTRACT 0.000 000 0.00 0.00 1{ ;is•, °' `' t' F, , Operating hours 7 00 AM to 5.00 PM 7 days a week.'�,� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 a�a - -' 000 E?t a ,t, - a J ,TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY : . �_'__,; � � ,a<` `CHANGE =CHECK O. SIGNATURE NO. 16® 3 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO ORMITER IALS BEING SHIPPED AND DOES NO�SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t a d COMPANY: ) 'k f-° ) SHIP DATE: dj COMMODITY SHIPPED: c ( } LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: /''f _ t `' GROSS f J0 TARE ' _'% .l 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"TCI APPL`IC BLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) / TRANSPORTER TRANSPORTATION/FREIGHT CO._ ( L I 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: I DATE DELIVERED. ADDRESS: I HEREBY CERTIFY THATT,HE 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 01320005 Steph 6155 Cox Lane, PO Box 962 DATE IN. DATE OUT , `TIME IN TIMEOUT .VEHICLE,v-Z' j ROLL OFF Cutchogue, NY 11935 10/03/17 10/03/17 13:26 13:26 11 114T 009316 Town of Babylon REFERENCE �. r - y Scale 2 Gross Wt. 76480 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY_ UNIT DESCRIPTION RATE _` EXTENSION FEE "TOTAL 2035 TON DUTGO MSW 0 000 0.00 0.00 000 Operating hours 7 00 AM to 5:00 PM 7 days a week." S ,M ''J^` P�P � • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685.' .y -. P ° ' 0.00 p c� NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAYS pp"ppp3 s "3'i TENDERED �y ' ' ,}• t'E CHANGE CHECK NO SIGNATURE SITE TICKET = = GRID >°__ = WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01320005 Steph 6155 Cox Lane, PO BOX 962 -DATE IN DATE OUT TIME IN TIME E OUT . _-VEHICLE ROLLOFF " Cutchogue, NY 11935 10/03/17 10/03/17 1326 1326 11114TC 009316 Town of Babylon REFERENCE ,. Scale 2 Gross Wt 76480 LB Outbound-Charge ticket Manual Tare Wt. 35780 LB QTYz UN DESCRIPTION., ='~ °' RATE EXTENSION ;__FEE`. TOTAL" 2035 TON DUTGO MSW 0.000 0.00 000 0.00 Operating hours 7.00 AM to 5`00 PM 7 days a week:., '� �� 4-r, ,f P • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 TENDERED "',,:'rt NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY'u CHANCE CHECK NO. SIGNATURE NO. 1602 *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: LJ V L-�� ,i I i i- ? SHIP DATE: C I 1 t j COMMODITY SHIPPED: LOOSEN `� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i '� �' 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 TQ APPLICABLE REGULATION l GENERATOR AUTHORIZED AGENT(PRINT NAME)- (SIGNATURE) TRANSPORTER f� TRANSPORTATION/FREIGHT CO. TRUCK NO. ) LICENSE NO/STATE: TRAILER NO. ! 5 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 0& DISPOSAL LOCATION: h VA t A DATE DELIVERED: I f ! ADDRESS: V \ / / 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 01320128 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE_ OUT -_TIME IN TIME-OUT -VEHICLE ROLL-OFF Cutchogue, NY 11935 110/0417 10/04/17 11:49 11 49 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78320 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY- UNI DESCRIPTION RATE EXTENSION `FEE TOTAL 21.19 TON OUTGO MSW 0.000 0.00 000 0.00 r 6'� ✓r },r'� �� \ `err" .J Operating hours 7.00 AM to 5'00 PM 7 days a week.;` ,.�.>,� � �." • "` ;'' :��°°'+�g CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85 s� s = tt 0.00 ' ,a s'> TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR RAY= CHANGE CHECK NO SIGNATURE SITE TICKET_ GRID _ WEIGHMASTER "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01320128 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT ;TIME IN TIME_OUT -VEHICLE - ROLLOFF Cutchogue, NY 11935 10/04/17 10/04/17 11.49 11 49 11114T 009316 Town of Babylon .- Scale 2 Gross Wt. 78320 LB Outbound-Charge ticket Manual Tare Wt 35940 LB 11 Ne I QTY .0m m DESCRIPTIONLi3 > ; "RATE EXTENSION ;=-FEE _ TOTAL 21 19 TON OUTGO MSW 0.000 000 000 000 Pi t�^S" a 'Sw <,�,'r� I rte-'?, �' • • Operating hours 7-00 AM to 5:00 PM 7 days a week, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685'- - - "j 000> ,'p' -'TENDERED,. NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR'-DAYS :,5' r9"�i ' CHA GE CHECK NO. SIGNATURE NO. 16® 5 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 3 Cr SHIP DATE: COMMODITY SHIPPED: LOOSE: f 'Q (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 7��' 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 3 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) s �� fX DESTINATION,,, f DISPOSAL LOCATION: } I! ! '/ DATE DELIVERED: l 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. WEIGHMASTER SITE ;_ TICKET GRID "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01320091 MC 6155 Cox Lane, PO Box 962 DATE-IN ° y DATE OUT` TIME IN TIME_ OUT- VEHICLE =__ROLLOFF Cutchogue, NY 11935 10/04/17 10/04/17 0911 0911 111 14T 009306 Town of Brookhaven Waste Manag REFERENCEOne Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt. 62940 LB Outbound-Charge ticket Manual Tare Wt 38700 LB 24240 - QTY a' UN le ,'DESCRIPTION." RATE,-'L EXTENSION FEE_ °,=TOTAL 1212 TON DUTGO CONST-CONTRACT 0 000 000 000 000 S,l �;i�O :.4��y�45 V 1%;D.t4,jy p•s S� �� t rV Operating hours 7.00 AM to 5:00 PM 7 days a week. ` ` ��, p 9 Y 000 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5 ��fi t TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY >• '' ` + :_CHANGE - "CHECK'NO. . SIGNATURE TlC SITE __ KET_aGRID HVEIGH_MASTER' "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01320091 MC 6155 Cox Lane, PO BOX 962 = DATE,IN wDATE OUT' TIME,IN TIME'OUT;, " VEHICLE, Cutchogue, NY 11935 10/04/17 10/04/17 09:11 09.11 11114TC 009306 Town of Brookhaven Waste Manag ORIGIN Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt. 62940 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Ne QTY U = D SCRIPTION FATE ; ' - EXTENSION �.-FEE _ " TOTAL 1212 TON OUTGO CONST-CONTRACT 0.000 000 000 0.00 A I tgF Operating hours 7.00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�� '.-,.``' - < ' � tj ` 'J -''TENDEREs D -�" NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DO q , < 3rY;fm � CHANGE ' -C EC -NO.§ SIGNATURE NO. 16 ® 4 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT `ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t fi COMPANY: �J 0(''� 1 I f �- ;I/ SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: , % ,dj 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. tv TRUCK NO. 2,5 LICENSE NO/STATE: TRAILER NO. D 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: ``3 (PRINT NAME) rte` (SIGNATURE) DESTINATION DISPOSAL LOCATION: �� ( ' -! j`'?'tj P DATE DELIVERED: �} L 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. TICKET GRID ;;<_ UVEIGHMASTER *'"DUPLICATE TICKET' SOUTHOLD TOWN DEPT SOLID WASTE t 01 01320221 Pat H 6155 Cox Lane, PO Box 962 I DfiTEIN PATI:_OUT> TIMEIN TIME.OUT VEHICLE ROLLOFF _,;. Cutchogue, NY 11935 10/05/17 10/05/17 0745 07.45 19606TC 009306 Town of Brookhaven Waste Manag REFERENCE .. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 59300 LB Outbound- Charge ticket Manual Tare Wt 36280 LB QTY. UNI DESCRIPTION _ RATE EXTENSION FEE TOTAL 11 51 TON Single Stream Recycl 15 000 17265 0.00 17265 Operating hours 7 00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 17265 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY TENDERED,':F" - CHANGE SIGNATURE SITE TICfCE_f `GRID : WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01320221 Pat H 6155 Cox Lane, PO Box 962 PATE IN RATE OUT TIME IN TIME OUT VEHICLE - .RdL-L OFF_ Cutchogue, NY 11935 10/05/17 10/05/17 07.45 0745 19606TC 009306 Town of Brookhaven Waste Manag REFERENCEOne Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 59300 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY. UN DESCRIPTION = RATE EXTENSION -FEE TOTAL 11 51 TON Single Stream Recycl 15 000 17265 000 172.65 Operating hours 7.00 AM to 5:00 PM 7 days a week`., - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 17265, NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED CHECK NO:. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road - 15-89, - NO. Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION-OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ) # . y' ` n GROSS i TARE �1 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 140 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED;CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION AGCbRDING TO APPLICABLE REGULATION: r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.' TRUCK NO. -` LICENSE NO/STATE: TRAILER NO. 4 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. 4 - 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** SIT_E ` -, TICKETGRID r< ti' . 'WEI-GHMASTER=-',,m SOUTHOLD TOWN DEPT SOLID WASTE 01 01320245 Pat H 6155 Cox Lane, PO Box 962 DATE IN DATE OUT -TIME IN TIME OUT -VEHICLE ROLLOFF Cutchogue, NY 11935 10/05/17 10/05/17 10:14 10.14 19606TC 009316 Town of Babylon REFERENCLE •- Scale 2 Gross Wt. 91200 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB 14 RTE EENSIONQTY DGIPTION FEE 7TOTAL 2729 TON OUTGO.MSW 0 000 000 000 0.00 sZW wb y � id"7 ff!•, � i� S� t z Operating hours 7.00 AM to 5.00 PM 7 days a week' 'a CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685G 0 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'�DAY ,� _I 3 TENDERED ' 'CHANGE CHECK NO. SIGNATURE SITE TICKET = GRID WEIGHMASTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01320245 Pat H 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT `TIME IN TIME OUT VEHICLE ROL_L_-OFF Cutchogue, NY 11935 ` 10/05/17 10/05/17 1014 10.14 19606TC 009316 Town of Babylon •- Scale 2 Gross Wt. 91200 LB Outbound-Charge ticket Manual Tare Wt 36620 LB 14 QTY` DSC IPTION <_ RATE EXTENSION" FEE ` = TOTAL 27.29 TON OUTGO.MSW 0 000 000 000 000 Operating hours 7.00 AM to 5:00 PM 7 days a week.: ��'°i'q•�'-^ .m_;'�`h�` ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685"%, "� erw. r.< TENDERED, , NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY `_'� } N CHANGE CHECK`NO. SIGNATURE _j TRINITY TRANSPORTATION CORPORATION 214 B lydenburgh Road 1564. 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: ATERIALS:COMPANY: j SHIP DATE: COMMODITY SHIPPED:- LOOSE: ` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `i O . 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 261 OR ANY APPLICABLE'STATE LAW,HAS BEEN PROPERLY DESCRIBED.,CLASSIFIED AND PACKAGED;AND IS IN-PROPER CONDITION FOR TRANSPORTATION ACCORDING'TO APPLICABLE REGULATION l 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. t SITE I TICKET- ' ` GR_1D? ` WEIGHMASTER *"DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 1 01320307 Pat H 6155 Cox Lane, PO BOX 962 DATE IN' -DATE OUT TIMEfN TIME OUT, VEHICLE `, ROLL OFF Cutchogue, NY 11935 0/05/17 0/05/17 4:02 4:02 19606TC 009316 Town of Babylon •- Scale 2 Gross Wt 102280 LB Outbound-Charge ticket Manual Tare Wt 36220 LB KI-+ 66020 is Ll- Y U DESCRIPTION ==_ RATE, EXTENSION = 3 'FEE _ .=TOTAL 3.03 TON CUTGO MSW 0 000 000 0.00 000 j C� It 1 Operating hours 7-00 AM to 5.00 PM 7 days a week r" `r ,:•µT'. "_,;F`,t �"'° CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768.5. "a � ' ,,. 0.00 y ,,, ,_�,.a : ;TENDERED � NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY 4v' CHANGE " ,'CHECK NO. SIGNATURE 51TE TICKET_ GRID'. WEIGH MASTER "*DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01320307 Pat H 6155 Cox Lane, PO Box 962 - DATE IN DATE OUT TIME-IN TIME OUT .-<VEHfCLE ROLL OFF Cutchogue, NY 11935 ` 10/05/17 10/05/17 14:02 14.02 19606TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 102280 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY �NVRIPTION "RATE '" s;EXTENSION FEE - =`TOTI'——, 33.03 TON DUTGO.MSW 0.000 0.00 000 0.00 52,_2_ Aj u . a � • Operating hours 7:00 AM to 5.00 PM 7 days a week."'' � .°_ , CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �g .� -"�� ;d0.00 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY{�'� '' "°�' ��' ' = TENDERED CHECK NO SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road 6772 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. el COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: {= GROSS " TARE i NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. p 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 1• , DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i "*DUPLICATE TICKET* SITE TICKET` GRID = WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01320386 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT , ,TIME IN TIME,OUT VEHICLE'S--. ROLL OFF Cutchogue, NY 11935 ` 10/06/17 10/06/17 10 0410 04 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 65020 LB Outbound-Charge ticket Manual Tare Wt 36300 LB QTY _ UNIT — = DESCRIPTION -— RATE `EXTENSION=_ `-' FEE _ --.TOTAL`" 1436 TON OUTGO CONST-CONTRACT 0 000 000 0.00 0.00 Operating hours 7.00 AM to 5`00 PM 7 days a weekF CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685 -- - � � 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORS ` � .� TEN°ERE° Yy CHANGE C ECK"NOEI SIGNATURE SITETICKET_- GRID WE_tGHMASTER "DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01320386 MC 6155 Cox Lane, PO Box 962 - °DATE_IN_ DATE OUT TIME IN= TIME OUT ~`VEHICLE-. -=ROLL OFF Cutchogue, NY 11935 10/06/17 10/06/17 1004 1004 11114TC 009306 Town of Brookhaven Waste ManagREFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 65020 LB Outbound-Charge ticket Manual Tare Wt 36300 LB QTY UN ` DESCRIPTION= RATE EXTENSION FEE -_; 7�'TOTAL ' 1436 TON OUTGO.CONST-CONTRACT 0.000 000 0.00 000 3 � Operating hours 7 00 AM to 5.00 PM 7 days a week�)�, CLOSED HOLIDAYS- QUESTIONS CALL 631-734J7 85 y 000 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR�DA +( � `*" v TENDERED' a �a CHANGE CHECK NO: SIGNATURE NO. 16 ® 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. r COMPANY: r r--j SHIP DATE: C, COMMODITY SHIPPED: ,' f LOOSE: (CU YDS) r BALES: (COUNT): �`y 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 TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ) K ( )") I I- I TRUCK NO. LICENSE NO/STATE: TRAILER NO. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _!� �-} �� ul '`� { f�'`� 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. **DUPLICATE TICKET— rSITET TIC _'WEIGHMAS�tER'� SOUTHOLD TOWN DEPT SOLID WASTE 01 01320438 IVIC 6155 Cox Lane, PO Box 962 --DATE IN- 64t OUT TIM"16--k-ITIME OLjTl,--' __-V6H�CLE �4JRO L OFF, Cutchogue, NY 1 1 935 h 10/06/17 110/06/17 12:57 12:58 111 14TC 009316 Town of Babylon REFERENCE go- __ jjj 114TC Scale 2 Gross Wt. 86360 LB Outbound-Charge ticket Manual Tare Wt. 35800 LB 41el�Uoh-------- 1 B -RATE EXTENSION- FEE TOTAL A _0TY. DESCRIPTION 2528 TON OUTGO MSW 0000 000 000 0.00 �v eA I I Operating hours 7 00 AM to 5:00 PM 7 days 2 week'�,,% CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORIDAY 603 CHANGE- [�'P_ CHECKNO SIGNATURE (.S-ITEI,, TICK]Fr�_" __G Fil D�- WEIGHMAdER- "DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 01 01320438 IVIC _k ITIME OUT EHICLE ROLL OFF 6155 Cox Lane, PO Box 962 DATE IN -DiTE OUT TIMEI Cutchogue, NY 11935 10/06111 1=0/06/17 12.57 112:58 111 14TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 86360 LB Outbound-Charge ticket Manual Tare Wt 35800 LB 'JFIATE ExTENSION �RMRIF�TIOO"' 2528 TON OUTGO.MSW 0000 0.00 0.00 000 N A. P4 J I J Operating hours 7.00 AM to 5.00 PM 7 days a weekl�.' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-713�5ao 0.00 -TENDERED NEXTHOLIDAY MONDAY, SEPTEMBER 4TH, LABOR,DAY ----CHANGE, SIGNATURE NO. 16®7 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I COMPANY: 0 kk �_ L) L )} SHIP DATE: COMMODITY SHIPPED: J f 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 a TRANSPORTATION/FREIGHT CO. 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) �s D STINATION DISPOSAL LOCATION. C 0 v A il DATE DELIVERED: J 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. NO. 1631 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. t COMPANY: SHIP DATE: 4 E i COMMODITY SHIPPED: LOOSE: s - (CO YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS GROSS sr� TARE v��r C" NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED`AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. G r_ `-� `.__'• TRUCK NO. =- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: r (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ( DATE DELIVERED: x t 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. NO. 16® 6 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE 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: ��LA 1 ti>, L J SHIP DATE: COMMODITY SHIPPED: l -111 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �4 c� '` ' GROSS i` C, TARE sI ZJ�-1 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 CR-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. jj 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: `� J (PRINT NAME) (SIGNATURE) DESTINATION , DISPOSAL LOCATION: _rb -v/'0JTA /`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. SITE TICKET:77. 'GELID' ` WEIdHMA"ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01321089 Steph 6155 Cox Lane, PO Box 962 DATE IN a ,bJ.ATEOU7 ° TIN1EIN. Ttiv LIT -,V CLE,,`, ROLLOFF , Cutchogue, NY 11935 ;0/10/17 10/10/17 12.39 12.39 111 14T 009306 Town of Brookhaven Waste ManagREFERENCE •. .1 Lei 104 One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 61300 LB Outbound-Charge ticket Manual Tare Wt 36620 LB QT ,' UNIT-, DESCRIPTION RATE_ -.:EXTENSION FEE'., _ ;TOTAL 1234 TON Single Stream Recycl 15 000 18510 0.00 18510 Operating hours 7 00 AM to 5.00 PM 7 days a week • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 18510 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY , TENDERED a'CHANGE; ; C ECK O. SIGNATURE SITS >,'TICKET :' GRlC7, UVEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01321089 Steph 6155 Cox Lane, PO Box 962 DATE IN ". DATE OUT TIME IN TIME OUT.. °r VEHICLE ROLLOFF Cutchogue, NY 11935 I - 10/10/17 10/10/17 1239 1239 111 14T 009306 Town of Brookhaven Waste Manag •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 61300 LB Outbound-Charge ticket Manual Tare Wt 36620 LB KIP W.—ht 94gqn QTY _ „UNI DESCRIPTION.' ,` = RATE EXTENSION_il.. .`-, ._ FEE _ TOTAL 1234 TON Single Stream Recycl 15 000 185 10 000 18510 Operating hours 7 00 AM to 5 00 PM 7 days a week.- CLOSED eek.CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685. 18510 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOF2,DAY ' TENDERED SIGNATURE NO. 1611 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT<ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I COMPANY: i 'ut I SHIP DATE: COMMODITY SHIPPED: ` LOOSE: f I ; (CU YDS) P BALES: (COUNT): TRUCK WEIGHT: GROSS TARE 1 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. F 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 �T�jO'THE DESTINATION LISTED BELOW �rF' 1 �� •'`ter;T';.,"" DRIVER: (PRINT NAME) f (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. NO. 161 ® 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: LI SHIP DATE: t COMMODITY SHIPPED: r LOOSE: i + (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: 3-' c- 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-&(ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCO�D NG TQ APPLICABLE'REGULATION t GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER 1 r TRANSPORTATION/FREIGHT CO. TRUCK NO. �� `^ LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: s a 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) A DESTINATION 1 d- A 5 7 DISPOSAL LOCATION: �~� '� '-� �' / DATE DELIVERED: "J 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 TIC"KEf=-_ -_ GRID- ° °WEIMASTERGH , , SOUTHOLD TOWN DEPT SOLID WASTE 01 01320977 Steph 6155 Cox Lane, PO Box 962 IbATE IN -DATE OUT"" °TIME Itil TIME OUT -ROLL OFF Cutchogue, NY 11935 10/10/17 10/10/17 07:20 07 20 11114TC 009306 Town of Brookhaven Waste Manag REFENENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 66100 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY UNIT. ,, DESCRIPTION• " - ', RATE EXTENSION ,FEE TOTAL 1516 TON OUTGO CONST-CONTRACT 0 000 000 000 000 - =5 S- j Operating hours 7 00 AM to 5 00 PM 7 days a week= CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY' /{;; t;.S„ ''TENDERED' .>: _CHANGE CHECK NOi":•r" SIGNATURE _=SITE , TICKETS ' GRID,„ , WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01320977 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME-IN TIME OUT -VEHICLE ROLL OFF ` Cutchogue, NY 11935 10/10/17 10/10/17 0720 07:20 11114TC 009306 Town of Brookhaven Waste Manag �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 66100 LB Outbound-Charge ticket Manual Tare Wt 35780 LB -(QTY UNI 'DY%RTION RATE= .EXTENSION -FEE _-"JOTAL"=== 15.16 TON OUTGO CONST-CONTRACT 0 000 0.00 000 0,00 JN araC sw •- -... FF tr 3 ��,y` � �•4 � t r £ , 7,, t�t1 Operating hours 7.00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 =_ ''„.� - - - w t' _ ``' k s =r TENDERED • NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY ", ;";i ;,:. ? s F CHAN CHEC O: SIGNATURE ? NO. 16®9 .. �. GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT \ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �.J li �1 I L-��, SHIP DATE: P COMMODITY SHIPPED: i LOOSE: `� (CU YDS) SALES: (COUNT): TRUCK WEIGHT: `fes _ ` 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•AN.Y_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) f`�yY• TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. t LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) ;'ter' (SIGNATURE) DESTINATION DISPOSAL LOCATION: / r t. DATE DELIVERED: ADDRESS: .1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET** SITE TICKET, GRID - ,WEIGHMASTET., SOUTHOLD TOWN DEPT SOLID WASTE 01 01321175 MC 6155 Cox Lane, PO Box,962 BATE IN T' DAT_E OUT-----' TIME IN TIME OUT_ 'VEHICLE ROLL OFF Cutchogue, NY 11935 ' 10/11/17 10/11/17 07 44 07 44 11114TC 009306 Town of Brookhaven Waste Manag REFERENCLE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 68040 LB Outbound-Charge ticket Manual Tare Wt 35800 LB Ne Weiaht 32240 LB QTY UNIT „ DESCRIPTION - " " ,RATE EXTENSION•- FEE_-' TOTAC'v 1612 TON OUTGO CONST-CONTRACT 0 000 0.00 000 000 Operating hours 7 00 AM to 5 00 PM 7 days a weeO�_ 'x, - ' �'� • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.,,r"..,,„ - ^4 „ 0.00 TENDERED' NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR''DAY' ^ y F CHANGE-- I HANGE_ CHECK NO.. SIGNATURE SITE r_TICKE_l_ `GRID_= W_EIGHMASTER - "DUPLICATE TICKET ' _ - SOUTHOLD TOWN DEPT SOLID WASTE 01 01321175 MC 6155 Cox Lane, PO Box 962 PATE IN;; „ DATE OUT_ix, TIME IN .TIME OUT -VEHICLE, ROLL OFF.,r Cutchogue, NY 11935 10/11/17 10/11/17 0744 07'44 111 14T 009306 Town of Brookhaven Waste Manag •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 68040 LB Outbound-Charge ticket Manual Tare Wt. 35800 LB QTY. UNrr "DESCRIPTION - RATE -EXTENSION=;' FEE TOTAL 16 12 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week,. I` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR? Yf"DA ;''; ;;f";ir„ ':'fj ;_TENDERED,,',, t'.',CHECK - SIGNATURE NO. 1612 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: , ) V � I I C- t-- li SHIP DATE: ! COMMODITY SHIPPED: +_ 4�"_ I3 / LOOSE: t 0 u (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. y ` l\j r ;- TRUCK NO. LICENSE NO/STATE: TRAILER NO. -> LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME)' (SIGNATURE) -ti DESTINATION! 1 DISPOSAL LOCATION: 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. SITE - : 'TICKET GRIP WEIGHMASTEA **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01321246 MC 6155 Cox Lane, PO Box 962 -DATE IN --DATE_OUT ,."TWEIN TIME OUT VEHICLE- I ROLLOFF_ Cutchogue, NY 11935 10/11/17 10/11/17 11.52 11 52 11114T 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 79040 LB Outbound-Charge ticket Manual Tare Wt 36000 LB :QTY.'- UNIY," DESCRIPTION :-, RATE EXTENSION -FEE TOTAL; 21 52 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 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY ;TENDERED.,-• CHAN E, - HEC NO SIGNATURE SITE' _ TICtCE_f= GRID_ ' wbGHWSTER **DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01321246 MC 6155 Cox Lane, PO Box 962 'DATEIN DATEOUT- TIME IN' TIME OUT VEHICLE.- _= ROLL`OFE. Cutchogue, NY 11935 10/11/17 110/11/17 11 52 11 52 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 79040 LB Outbound- Charge ticket Manual Tare Wt 36000 LB 43 QTY UNI DESCRIPTION. RATE; EXTENSION FEE TOTAL 21 52 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 f C O., SIGNATURE NO. 1313 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGOO MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. (D ! COMPANY: �--% p, 0 L- -I-) SHIP DATE: J j COMMODITY SHIPPED: )\/\ w ! f LOOSE: 1 0 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: w'�° GROSS TARE ` fes 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 APPLICABL&REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. Tic I f\3 , 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. =0 DRIVER: A (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: �/ + �� ' ' '� DATE DELIVERED: l ! ADDRESS: l f 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. _SVTE TTICKET '' ' °� `-GRID- r WEIGHMAST_ER "DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 01 01321294 MC 6155 Cox Lane, PO Box 962 =DATE IN DATE OUT TIMEdN TIME OUT . VEHICLE " ;ROLL OFF Cutchogue, NY 11935 10/11/17 10/11/17 14.26 14:26 19606TC 009316 Town of BabylonREFERENCE O. IGIN Scale 2 Gross Wt 86120 LB Outbound-Charge ticket Manual Tare Wt. 35600 LB =QTY UNIT DESCRIRTION ` ; RATE ;EXTENSION FEE TOTAL 2526 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 '='y>'s,. w _ - 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY'-"j,.'q'";;k CHANGE HECK NO' SIGNATURE .S17 1 TICKET; -GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321294 MC 6155 Cox Lane, PO Box 962 `'DATE IN }- _DATE OUT TIME--1_N- TIME OUT VEHICLE --_-ROLL OFF Cutchogue, NY 11935 10/11/17 10/11/17 1426 14 26 19606TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 86120 LB Outbound-Charge ticket Manual Tare Wt 35600 LB N1. IN—M 505 OTY' UNb DESCRIPTION RATE" ��;"EXTENSION FEE _`TOTAL 25.26 TON OUTGO MSW 0.000 0.00 0.00 0.00 s> \a Operating hours 7 00 AM to 5:00 PM 7 days a week] V ; - '°`� _ `.. -_ „` '1 ' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85 „^`'• --- `^ a r 0.00 A=TENDERED __' NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR,DAY' CHANGE CHECK NO _. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh road NO. 6 7 7 3 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: 5'".},?' GROSS TARE S :> NET ` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED.CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: _ WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET _SITE TICKET=` GRID "WEIGHMASTER' „ SOUTHOLD TOWN DEPT SOLID WASTE 01 01321342 MC 6155 Cox Lane, PO Box 962 DATE'IN - >_DATE OUT,- TIME-N TIME OUT VEHICLE - ROLL,OFF > Cutchogue, NY 11935 10/12/17 10/12/17 07:28 07'28 111 14T 009306 Town of Brookhaven Waste Manag One Independence Hill •. Farmingville NY 11738 Scale 2 Gross Wt 66520 LB Outbound -Charge ticket Manual Tare Wt 36200 LB Net Wei ht 30320 LB `QTY `UNIT = DESCRIP-TION RATE EXTENSION FEE -TOTAL'. 15 16 TON Single Stream Recycl 15.000 22740 000 22740 44 Operating hours 7 00 AM to 5.00 PM 7 days a week fi = � F. `i • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 :` .``°. a 22740 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR`DAY':f '' Fri3 ;z�s `n'' ,;; = =TENDERED CHANGE SIGNATURE HECK NO _SITE TICKET-� GRID _> WEIGHMASTER', "`DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321342 MC 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT TIME IN TIME OUT " =;VEHICLE ROLL OFF' Cutchogue, NY 11935 I' 10/12/17 10/12/17 07'28 07.28 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 66520 LB Outbound-Charge ticket Manual Tare Wt 36200 LB - ,QTY UNIT "' "" ` DESCRIPTION t_-RATE_ ' =;-'EXTENSION _ FEE TOTAL 1516 TON Single Stream Recycl 15 000 22740 000 22740 Operating hours 7 00 AM to 5:00 PM 7 days a week" = :F * r°�r • .E t,�'f:.f >.--�.•' '�._�.-j Ste'"-.3 ." CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685."- _._ =.z. -0 22740 4< °<' NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY',' f.,A j ,,f. : '` >'.=TENDERED "=CHECK NO. . -« SIGNATURE NO. 1614 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. k COMPANY: �' °- t �" ; } SHIP DATE: ` 1 I COMMODITY SHIPPED: ' ` f `J t LOOSE: F (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 PART261 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. �) f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITEvCISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. tr DRIVER: (PRINT NAME) ,� (SIGNATURE) DESTINATION DISPOSAL LOCATION: t 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. "*DUPLICATE TICKET' SCf "TiCtCET_ GRID1 , MIGHiWAS'CER. , SOUTHOLD TOWN DEPT SOLID WASTE 01 01321364 MC 6155 Cox Lane, PO Box 962 DATE IN_,„DATEQII7 TIMEIN-TIMEOUT ,:- VEHICLE: - ROLLOFF,. Cutchogue, NY 11935 10/12/17 10/12/17 10:00 10:00 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63380 LB Outbound- Charge ticket Manual Tare Wt 35800 LB Ne Wpinht 27,950 LB QTY. _ UNIT" DESCRIPTION ', RATE ;EXTENSION IEE TdTAL.',`. 13.79 TON Single Stream Recycl 15 000 20685 0 00 20685 Operating hours 7 00 AM to 5 00 PM 7 days a week • CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 20685 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DA`( ' TENDERED.' CHANG ,' CHECK NO. SIGNATURE SITE = flCKET GRILL - WEll' H STER_ —DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01321364 MC 6155 Cox Lane, PO Box 962 _ ;DATE IN„_` DATE OUT_ TIME IN TIME-OUT _-VEHICLE " : Fi014 OFE`,_ Cutchogue, NY 11935 - 10/12/17 10/12/17 10.00 1000 11114T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63380 LB Outbound- Charge ticket Manual Tare Wt 35800 LB CITY.. UNI DESGRIP-TION.° - - - CRATE r`- EXTENSION= EEE,= _ TOTAL 1379 TON Single Stream Recycl 15.000 206.85 000 20685 Operating hours 7 00 AM to 5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 20685 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED;"` -_ HANGE -CH9CK Nd: SIGNATURE NO. 1615 GENERATOR THIS MANIFEST IS FOR REFEREt GE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTi�SS{{F�UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: t b I-- SHIP DATE: COMMODITY SHIPPED: - t ``�• $ opt / LOOSE: (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 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: 0 C ...9 �,.. (PRINT NAME) . (SIGNATURE) ^� DESTINATION DISPOSAL LOCATION: 1 / RATE DELIVERED: { I a � 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 ' .';Tibt$E,'_ 'GRID WEIGNMASTER. "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321426 Pat H 6155 Cox Lane,PO Box 962 DATE_tIV y; t DATE OUT .,TIME,IN=TIME OUT ' 'VEHICLE, " ROLLOFF Cutchogue, NY 1193'5 - 10/12/17 10/12/17 14:04 1404 111 14T 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 85340 LB Outbound-Charge ticket Manual Tare Wt 36300 LB QTY UNIDESCRIPTION= RATE` EXTENSION EEE; >_ TOTAL :-- 2452 TON OUTGO MSW 0 000 000 000 0'00 i Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED GHEGK-NO.- SIGNATURE _SITE_ TICKET ',"' OR-ID wEIGHMASTER - _ "*DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01321426 Pat H 6155 Cox Lane, PO Box 962 QATE iN DATE OUT Tttv1E 1N T1NIE.OUT VEHICLE~ ROLC OFF` Cutchogue, NY 11935 10/12/17 10/12/17 14.04 114 04 11 114T 009316 Town of Babylon ORIGIN Scale 2 Gross Wt 85340 LB Outbound-Charge ticket Manual Tare Wt 36300 LB QTY- UN _ DESCRIPTION. RATE-, EXTENSION. _ EEE;' : TOTAL: 2452 TON OUTGO MSW 0 000 000 0.00 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a week' dIIIIIIIIIIIIII11091MAUT"01 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORDAY TENDERED-:, E o:,, . SIGNATURE NO. 1616 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N.OT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: V 0 1 o L-- SHIP DATE: , Z COMMODITY SHIPPED: f LOOSE: U (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 T TRANSPORTATION/FREIGHT CO. (") Nl t ?� 1 TRUCK NO. 5 LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR,SITE LISTEDrABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -.I?— G e �__ _ DRIVER: -TO (PRINT NAME). (SIGNATURE) DESTINATION DISPOSAL LOCATION: l) \'` L 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. BITE TICKET_ _,GRib ` VVEioiy MASTER„ **DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 01321491 MC 6155 Cox Lane, PO Box 962 7DATEIN "1-,,DATE otJr CtME IN i1ME_OU1 VEHICLE Y ROLLOFF",-, r Cutchogue, NY 11935 10/13/17 10/13/17 0856 0857 111 14T 009306 Town of Brookhaven Waste ManagREFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63720 LB Outbound-Charge ticket Manual Tare Wt. 35800 LB QTY.' UNI . " DESCRIPTION- ' " - - ;^RATE, EXTENSION' FEE TOTAL 1396 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-, - CHANGE' . CH E K NQ. - SIGNATURE -SITE "TICKET _GRIA-, WEIOHMASTER **DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01321491 MC 6155 Cox Lane, PO Box 962 ,DATE iN DATE OUT TIME IN:. TIME OUT . _YEH'ICLE RgLL-OFA; Cutchogue, NY 11935 10/13/17 10/13/17 08.56 0857 11114TC 009306 Town of Brookhaven Waste Manag .. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 63720 LB Outbound-Charge ticket Manual Tare Wt 35800 LB QTY UNI (3ESCRiPT10N . HATE EXTENSION-` 'FEE TOTAL 1396 TON OUTGO CONST-CONTRACT 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- n an NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED . ", _-,CHECK NO: SIGNATURE NO. 1617 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: ( k VT I.-I 0 �- 1 ) SHIP DATE: I � f COMMODITY SHIPPED: c_ LOOSE: I) U (CU YDS) BALES: (COUNT): , TRUCK WEIGHT: /6- ��'✓' 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. f'_. .I ! TRUCK NO. L"S LICENSE NO/STATE: TRAILER NO. B 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) j (SIGNATURE) DESTINATION DISPOSAL LOCATION: - �` ' rL DATE DELIVERED: d F f 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. "DUPLICATE TICKET" _SITE TICKET4 GRID =_ WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321556 MC 6155 Cox Lane, PO Box 962 = --DATE IN DATE OUT3-!] TIME IN_TIME OUT ,_VEHICLE:,,r'. a ROLL OFF" Cutchogue, NY 11935 10/13/17 10/13/17 1241 12.41 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 83820 LB Outbound-Charge ticket Manual Tare Wt 36600 LB Net Wei ht 47220 LB `QTY. _ A-RUNIT _ DESCRIPTION=_= RATE r- EXTENSIO[f= 'FEE'" _`` TOd�� 23.61 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7`00 AM to 5:00 PM 7 days a weekV ,_�" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685~ ' 0.00 -TENDERED NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR•`DAY , ` CHANGE="' " C ECK NO. SIGNATURE ��j =SITE __TICKET_;__ GRID WEIGHMASTER "`DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321556 MC 6155 Cox Lane, PO Box 962 DATE IN.- DATE OUT.�-TIME IN TIME OUT "-VEHICLE y=-ROLLOFF Cutchogue, NY 11935 _ 10/13/17 10/13/17 1241 12.41 11114TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 83820 LB Outbound-Charge ticket Manual Tare Wt. 36600 LB QTY =__ UNI ",° _ ` DESCRIPTION EXTENSION`i°' __ `FEE-'___s r=TOTAL;_ 23.61 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 b61-164-7685,"V';,' s. 00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY •. `:' °$"r''` Ty „ _TENDERED n� z-'CHANGE'. =C E- ,NO. SIGNATURE NO. . x. 618 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: d-�1~I t SHIP DATE: COMMODITY SHIPPED: LOOSE: I �' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '� � ' GROSS TARE . J v 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._ .r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER j + t TRANSPORTATION/FREIGHT CO. f I L\/ � 7- TRUCK NO. —11 LICENSE NO/STATE: TRAILER NO. I CA 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: I (PRINT NAME) ,� (SIGNATURE) DESTINATION DISPOSAL LOCATION: / / J I /'� 1 �� DATE DELIVERED: d 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. "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01321475 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/13/17 10/13/17 07'58 0758 19606TC 009316 Town of Babylon Scale 2 Gross Wt 78640 LB Outbound -Charge ticket Manual Tare Wt 36300 LB Net Weight 42340 LB 21 17 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 01321475 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/13/17 10/13/17 0758 0758 19606TC 009316 Town of Babylon Scale 2 Gross Wt 78640 LB Outbound- Charge ticket Manual Tare Wt. 36300 LB Net Weight 42340 LB 21 17 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 TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh load 6774 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: e `` f ' SHIP DATE: � J COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f%' 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. 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. i - SOUTHOLD TOWN DEPT SOLID WASTE 01 e 0121690 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/14/17 10/14/17 10.37 10:37 19606TC 009316 Town of Babylon Scale 2 Gross Wt 75780 LB Outbound-Charge ticket Manual Tare Wt 36260 LB Net Weight 39520 LB 1976 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01321690 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/14/17 10/14/17 1037 1037 19606TC 009316 Town of Babylon Scale 2 Gross Wt 75780 LB Outbound-Charge ticket Manual Tare Wt 36260 LB Net Weight 39520 LB 1976 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 - TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road i No. 677-6 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: �` 1* '€ SHIP DATE: i COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: !i GROSS X0,7 , TARE `i NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE(QUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 26"1 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO ARPL-ICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (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. SOUTHOLD TOWN DEPT SOLID WASTE 01 01321672 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 X0/14/17 10/14/17 09:15 0915 111 14T 009316 Town of Babylon Scale 2 Gross Wt 78300 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 42360 LB 21 18 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01321672 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/14/17 10/14/17 09.15 09.15 111 14T 009316 Town of Babylon Scale 2 Gross Wt 78300 LB Outbound-Charge ticket Manual Tare Wt 35940 LB Net Weight 42360 LB 21 18 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 NO. 1619 L-- 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: z LA �� U J SHIP DATE: / ~I COMMODITY SHIPPED: m LOOSE: I 'J ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` �' GROSS TARE Cl (9 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 AN PLICABLE STATE LAW,HAS BEEN-PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS�P.,OR _APTATION, CCORDINGTO-AP_PLICABL�ULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) !. (SIGNATURE) 4 4 TRANSPORTER I f ' TRANSPORTATION/FREIGHT CO. TRUCK NO. �11- LICENSE NO/STATE: TRAILER NO. f ) ``? LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: / (PRINT NAME) !rte (SIGNATURE) DESTINATION DISPOSAL LOCATION: L6Vll,(\JT �, i A .j y �/ L 0 DATE DELIVERED: ? t ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 01321653 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/14/17 10/14/17 0809 0809 19606TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 58060 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Weight 22520 LB 11 26 TON Single Stream Recycl 15 000 16890 000 168.90 Operating hours 7 00 AM to 5.00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 168.90 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY SOUTHOLD TOWN DEPT SOLID WASTE 01 01321653 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/14/17 10/14/17 08:09 08.09 19606TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 58060 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 22520 LB 11 26 TON Single Stream Recycl 15.000 16890 0.00 16890 Operating hours 7 00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 16890 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 6775 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: a t '' SHIP DATE: r' r COMMODITY SHIPPED: �. LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 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 PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING -T^O�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: Y 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" 1NEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01322093 Steph 6155 Cox Lane, PO Box 962 - Cutchogue, NY 1 1935 DATE IN DATE OUT_ TIME IN TIME OUT VEHICLE _ . ROLL OFF; 10/16!17 10/16/17 11256 112.56 1 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 83880 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Weight 47260 LB QTY' UNIT = z° DESCRIPTION',• = RATE EXTENSION=- FEE,_�F. TOTAL 2363 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;;-- HECK NO`=== SIGNATURE �f "DUPLICATE TICKET*` SITE `TICKET--tl GRID;` `_ WEIGHMA6TER'� SOUTHOLD TOWN DEPT SOLID WASTE 01 01322093 Steph 6155 Cox Lane, PO Box 962 ,DATE IN=v DATE OUT` TWAIN,TIMEOUT ,VEHICLE' ',r ; ,"ROLLOFF:s Cutchogue, NY 11935 10/16/17 10/16/17 12.56 12:56 11114TC 009316 Town of Babylon REFERENCE �- Scale 2 Gross Wt 83880 LB Outbound-Charge ticket Manual Tare Wt 36620 LB B QTY ' UNIT DESCRIPTION ' PATE,f= EXTENSION FEE=: _ TOTAL; 2363 TON OUTGO MSW 0 000 0.00 000 000 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°,,";',', V' I CHANGE, EO 'NO ',, SIGNATURE NO. 1622 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: Llk I 14 1U SHIP DATE: COMMODITY SHIPPED: m-5 V-� 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. `f - GENERATOR AUTHORIZED AGENT(PRINT NAME) "- (SIGNATURE) TRANSPORTER '1 TRANSPORTATION/FREIGHT CO. �� i E`3 ti �- �-I J�� TRUCK NO. LICENSE NO/STATE: TRAILER NO. G� 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: u /r' (PRINT NAME) � (SIGNATURE) DESTINAT ON (�/ VA \� LOA DISPOSAL LOCATION: .(� � �� DATE DELIVERED: 0 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 h 1 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 01322009 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/16/17 10/16/17 07.18 07'18 11 114T 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63420 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Weight 26800 LB 1340 TON Single Stream Recycl 15 000 201 00 000 201.00 Operating hours 7 00 AM to 5.00 PM 7 days a week - CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 201.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY —DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 01322009 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/16/17 10/16/17 0718 0718 11 114T 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 63420 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Weight 26800 LB 1340 TON Single Stream Recycl 15.000 201 00 000 201.00 Operating hours 7.00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 201.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY NO. X162 ® 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. c ; COMPANY: } $u v�, ti3 > "— ie�a SHIP DATE. f' t COMMODITY SHIPPED: ' LOOSE: a ;-- (CU/YDS) BALES: (COUNT): TRUCK WEIGHT: A� `� _-' 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) m DESTINATION DISPOSAL LOCATION: If,` ' ' `�� }l �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** rSITEj TICKET I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01322043 Steph 6155 Cox Lane, PO Box 962 ,-DATE IN q DATE-OUT TIME IN TIME OUT VEHICLE ROLL OFF "y, Cutchogue, NY 11935 - - 10/16/17 10/16/17 09'56 09:56 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill , Farmingville NY 11738 Scale 2 Gross Wt 74360 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Net Weight 38820 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL ° 1941 TON UTGO.CONST-CONTRACT 0.000 000 0.00 0.00 .fr,, "y t`1 x -Y ASI Operating hours 7.00 AM to 5:00 PM 7 days a week'- _` r' 71 VON CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'`;"N- .�i& � r 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR-DAY' TENDERED r- CHANGE' CHECK N SIGNATURE **DUPLICATE TICKET** SITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01322043 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT TIME IN TIME OUT VEHICLE I ROLL OFF Cutchogue, NY 11935 10/16/17 10/16/17 09:56 09:56 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 74360 LB Outbound-Charge ticket Manual Tare Wt 35540 LB Ne Weiaht 38820 LB QTY. UNIT DESCRIPTION .RATE- : EXTENSION FEE' " TOTAL 1941 TON OUTGO CONST-CONTRACT 0.000 0.00 000 0.00 Operating hours 7 00 AM to 5,00 PM 7 days a week. 5j% • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.• 000 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY' �`>`„r"` TENDERED" CHANGE CHECK NOr°'m,„ SIGNATURE NO. 1621 y 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 ANYLIABILITYASSOCIATED 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 t , 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: k `�� v DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY.KNOWLEDGE THE INFORMATION PROVIDED' IS TRUE AND ACCURATE: I RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. S11E TICKET GRID',- - _ WEiGHMASTER;, SOUTHOLD TOWN DEPT SOLID WASTE 01 01322273 Steph 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 DATE 1 "'DAT;OUT. TIME IN TIME"OUT ,_ VEHICLE „'ROLL'OFF', 10/17/17 10117/17 13:33 13:33 11114T 009316 Town of Babylon REFERENCE ORIGIN FScale'2 Gross Wt 79260 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Net Weight 42980 LB , 517 UNIT ,DESCRIPTION",`: RATE- EXTENSION-; _ ' ' FEE _ TOTAL - 21 49 TON OUTGO.MSW 0 000 0.00 000 000 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-., ' C EC N..._j - ` SIGNATURE SITE : -TICKET GRID- wE1GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01322273 Steph 6155 Cox Lane, PO Box 962 DATE IN= DATE OUT, TIMEIN'.TIME°OUT VEHICLE -. ROLL OFF',, Cutchogue, NY 11935 - 10/17/17 10/17/17 1333 13.33 11114T 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 79260 LB Outbound- Charge ticket Manual Tare Wt 36280 LB No Weiaht LB QTY UNIT <. DESCRIPTION -, _ -RATE EXTENSION. EEE TOTAL 21.49 TON OUTGO MSW 0 000 000 -000 0.00 m _ 4 . 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, LABOWDAY' „ ' TENDERED'" " H Er CHI EC NO.I SIGNATURE NO. - 1624 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: i COMMODITY SHIPPED: LOOSE: L` `' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �' ( i_ - GROSS �1 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) t- - (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: •� ! rj '`� j��i Lo, DATE DELIVERED: D 1 l l E t ' 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 01322196 Steph 6155 Cox Lane, PO BOX 962 -=-DATE IN DATE OUT-. ,TIME IN TIME OUT -VEHICLE=;` ti ROLL OFF Cutchogue, NY 11935 - 10/17/17 10/17/17 09'18 09:18 111 14T 009306 Town of Brookhaven Waste Manag One Independence Hill •. Farmingville NY 11738 Scale 2 Gross Wt 57140 LB Outbound-Charge ticket Manual Tare Wt 35940 LB Net Wei ht 21200 LB -- _QTY UNIT = DESCRIPTION—-k--' ', RATE EXTENSION` - FEE _ TOTAL; , 1060 TON Single Stream Recycl 15.000 15900 000 159.00 Operating hours 7.00 AM to 5.00 PM 7 days a week'`. ;,. • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 159.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY, 4".` : TENDERED' '. "CHANGE-'' SIGNATURE CHECK NQ� **DUPLICATE TICKET** SITE TICKET NO. 1323 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: b 0 L SHIP DATE: ` COMMODITY SHIPPED: -� i LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ; I Lf 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 r .J TRANSPORTATION/FREIGHT CO. TRUCK NO. 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. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: U ! i VI ��`J 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. t SITE I TICKET°' - GRID `= _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01322347 Steph 6155 Cox Lane, PO Box 962 - DATE IN PATE OUT = 'TIME IN--TIME OUT VEHICLE „ ,ROLL OFF-, Cutchogue, NY 11935 = 10/18/17 10/18/17 08.45 08.45 11114TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence HIII REFERENCE Farniingvllle NY 11738 Scale 2 Gross Wt 73580 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Wel ht 36960 LB QTY '- ""UNIT'- DESCRIPTION--- PATE -EXTENSION FEE TOTAL 18.48 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 R `8 Operating hours 7.00 AM to 5.00 PM 7 days a week'`, ;_ w .` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR"DAY:Y `' r �` "' +�, p-.,�i� ,•,;�, ^TENDERED•._., - ..F-CHANGE,.- CHECK NO:- SIGNATURE SITE TICKET " „GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01322347 Steph 6155 Cox Lane, PO Box 962 DATEIN. 'DATE OUT= 'TIME IN, TIME O_ UT _` VEHICLE- ROLL OFF�- Cutchogue, NY 11935 10/18/17 10/18/17 08.45 08.45 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingvllle NY 11738 Scale 2 Gross Wt 73580 LB Outbound-Charge ticket Manual Tare Wt 36620 LB 36950 LB QTY '; •,UNIT; .'. DESCRIPTION'„ RATE- -EXTENSION,, FEE-,_ --'TOTAL_,, 1848 TON OUTGO CONST-CONTRACT 0.000 000 0.00 000 Operating hours 7 00 AM to 5.00 PM 7 days a week,.,', r • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 _�% ;, ", + 000 ' TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-.DAY= °;',`F ' ,;}�,, ," ;. ; : CHECK NO. SIGNATURE NO. 1625 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NCOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: `..J -' .}� 1 v�� i_. i SHIP DATE: '' COMMODITY SHIPPED: 1� LOOSE: (CU YDS) BALES: (COUNT,): TRUCK WEIGHT: ? GROSS r �; 7 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. 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) ��^e .✓ (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 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 ABO. , 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: r RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SIT *DUPLICATE TICKET*' E TICKEF ,`„ GRID WEIGH MASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01322443 Steph 6155 Cox Lane, PO Box 962 DATE IN„ -DATE OUT TIME IN TI'ME,OUT •, VEHICLE - ROLL OFF,-, , Cutchogue, NY 11935 - 10/18/17 10/18/17 113:36 113*36 19606TC 009316 Town of Babylon Scale 2 Gross Wt 97800 LB Outbound- Charge ticket Manual Tare Wt. 35540 LB Net Weiaht 62260 LB QTY. '' a UNIT "' - DESCRIPTION 'RATE' EXTENSION FEE-•., • - "' TOTAL 31 13 TON DUTGO.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 0.00 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED-- . „ - CHANGE _ t CHECK NO. SIGNATURE ITE � TICKET,„ GRID; WEIGHMAST SER ""DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01322443 Steph 6155 Cox Lane, PO Box 962 DATE IN „. „DATE.OUT-. TIME IN;TIME,OUT ,VEHICLE `, ROLL OFF,z. Cutchogue, NY 11935 10/18/17 10/18/17 13:36 13:36 19606TC 009316 Town of Babylon Scale 2 Gross Wt. 97800 LB Outbound-Charge ticket Manual Tare Wt 35540 LB ;QTY UNI -:DESCRIPTION, - RATE, - EXTENSION;' FEE, TOTAL 31 13 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. -_ - o-,�?- 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY ;; TENDERED CHANGE t HECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 6777 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: l rte, 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. 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 h 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 01322398 Steph 6155 Cox Lane, PO Box 962 = Cutchogue, NY 11935 DATE IN DATE OUT_, TIMEJN TIME OUT VEHICLE`=- _ ROLL OFF 10/,18/17 10/18/17 11.30 11.30 11114T 009316 Town of BabylonREFERENCE O. IGIN 7: Scale 2 Gross Wt 76580 LB Outbound-Charge ticket Manual Tare Wt 36280 LB Net Weight 40300 LB ' ' "'TOTL"QTY, UNITA` ' Xfi 20 15 TON OUTGO MSW 0.000 000 0.00 000 _ f 3 " Operating hours 7 00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685E „° 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY:`r,a '"', TENDERED- CHANGE_ CHECK NO.E SIGNATURE SITE 71CKET_'+ GRID'{i- WE&MH ASTER; SOUTHOLD TOWN DEPT SOLID WASTE 01 01322398 Steph 6155 Cox Lane, PO Box 962 - �e"',;,,`�;;• „ DATE IN,` .DATE OUT;- TIME IN�TIME OUT ,VEHICLE ROLL OFF"'� Cutchogue, NY 11935 10/18/17 10/18/17 11.30 11.30 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 76580 LB Outbound-Charge ticket Manual Tare Wt 36280 LB QTY = UNIT '_ DESCRIPTION'= RATE EXTENSION' FEE TOTAL" 2015 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 0 00 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAYTENDERED" r; CHANG&, HEC O:' SIGNATURE T NO. 1626 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: lA L t 1 SHIP DATE: t % COMMODITY SHIPPED: P-A 'fit LOOSE: I (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS +� r 2 TARE Ul 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 TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) i_ (SIGNATURE) TRANSPORTER I f i ' TRANSPORTATION/FREIGHT CO. TRUCK NO. tt�---� LICENSE NO/STATE: TRAILER NO. i �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. J DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION .11 / f / f DISPOSAL LOCATION: if ✓ r l ` �/A J (O DATE DELIVERED: U 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER ,,YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR ! DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE_- TICKET' GRID, WEIGHMASTER --- SOUTHOLD TOWN DEPT SOLID WASTE 1 01322515 MC 6155 Cox Lane, PO BOX 962 DATE IN' DATE OUT 'TIME IN` TIME OUT •VEHICLE ROLL'OF'F Cutchogue, NY 11935 0/19/17 10/19/17 7:35 07 35 11114TC 009306 Town of Brookhaven Waste Manag •, REFERENCE One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 67100 LB Outbound-Charge ticket Manual Tare Wt 36600 LB LB QTY ,,, ! UNIT; '_. _'DESCRIPTION = _ ,4=. ,- _ RATE EXTENSION "`, FEE- .. TOTAL „ 1525 TON 3ingle Stream Recycl 15.000 228.75 000 228.75 Operating hours 7 00 AM to 5*00 PM 7 days a week '" t E • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 J-``', ;4y` 228.75 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR`DAYr TENDERED - - CHAGE CHECK ',,, SIGNATURE SITE TICKET', 'GRID "'`_WEIGHMASTER "*DUPLICATE TICKET"" - SOUTHOLD TOWN DEPT SOLID WASTE 01 01322515 MC 6155 Cox Lane, PO BOX 962 ,1.DATE'IN DATE OUT.' ;TIME IN TIME OUT °"^r VEHICLE :w:°+ROLL,OFF. Cutchogue, NY 11935 10/19/17 10/19/17 07.35 10735 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 67100 LB Outbound- Charge ticket Manual Tare Wt 36600 LB Nit. \Ah-i�kf Ansnn I R 7 QTY: `- UN - `-DESCRIPTIO-N RATE = EXTENSION _` FEE TOTAL 15.25 TON 3ingle Stream Recycl 15.000 228.75 000 22875 Operating hours 7 00 AM to 5 00 PM 7 days a week. r - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 228.75 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY` '`ZFENDERED_- • "" _ =CHAN E CHECK NOf SIGNATURE NO. 1627 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTeASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: `r C ��~ '1 j ��'� SHIP DATE: � --=A ! < f COMMODITY SHIPPED: LOOSE: 1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NETJ" I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10.OR,/!NY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER, � I TRANSPORTATION/FREIGHT CO. TRUCK NO. yG ' LICENSE NO/STATE: TRAILER NO. 4 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 y 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 WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Di 01322552 MC 6155 Cox Lane, PO Box 962 DATE IN `- DATE OUT_ -TIME IN' TIME OUT- `-VEHICLE ROLL OFF=. Cutchogue, NY 11935 - 0/19/17 10/19/17 0°26 10.26 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •, One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 60420 LB Outbound-Charge ticket Manual Tare Wt 36300 LB QTY°z'"' UN "' "DESCRIPTION° _ RATE'S`: °, EXTENSION" FEE`. "? ~ ,,'TOTAL: 1206 TON 3ingle Stream Recycl 15 000 18090 000 180.90 r Operating hours 7 00 AM to 5.00 PM 7 days a week :�, '4- _ • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 ", -- ~~ 18090 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR`DAY .TENDERED CHANGE '-CHECK-N SIGNATURE SITE TICKET GR " WEIGHMASTER - ""DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01322552 MC 6155 Cox Lane, PO BOX 962 „DATE IN` 'DATE OUT ” -TIME IN'TIME'OUT'il,'", VEHICLE" °ft'. ROLLOFF'," Cutchogue, NY 11935 10/19/17 10/19/17 10:26 1026 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 60420 LB Outbound-Charge ticket Manual Tare Wt 36300 LB -=QTY UN 'DE21 SCRIPTION RATE = EXTENSION FEE, ' TOTAL 12.06 TON Single Stream Recycl 15 000 18090 000 180.90 4 ' 4 i Operating hours 7.00 AM to'5 00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 180.90 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY �=TENDERED.=t CHANGE CHECK NO SIGNATURE NO. 1628 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: J Ul ' 1l SHIP DATE: COMMODITY SHIPPED: f� CC 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, s TRANSPORTATION/FREIGHT CO. TRUCK NO. �' '� LICENSE NO/STATE: TRAILER NO. C, 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) �:�1 (SIGNATURE) DESTINATION DISPOSAL LOCATION: JI J! , (� � l\,j e 1� D 1 �' cy ATE DELIVERED. ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. i NO. 162.9 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: _ ' SHIP DATE: r c I COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: - GROSS 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. ii LICENSE NO/STATE: TRAILER NO. 1 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: /. (PRINT NAME) `' (SIGNATURE) DESTINATION �. DISPOSAL LOCATION: �-- r f ..%j DATE DELIVERED: I ADDRESS: J 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 DISPOSAL LOCATION TICKET NO. ""DUPLICATE TICKET"" s i <.TICKET io1NEIGHNIAS1Eft SOUTHOLD TOWN DEPT SOLID WASTE 01 01322689 MC 6155 Cox Lane, PO BOX 962 DRTEIN r 'b_'E UT',' 'TINIEIN TIMEOUt "VEHICLE Cutchogue, NY 11935 10/20/17 10/20/17 0850 0850 111 14T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt 78060 LB Outbound-Charge ticket Manual Tare Wt 36600 LB :�N�e:Wei ht 41460 LB QTY. UNIT '` I)ESCRIPTION ;_ '-RATE EXTENSION _ FEE` 'TOTAL 20.73 TON OUTGO CONST-CONTRACT 0.000 000 000 0.00 , Y> 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 - •, r' C ANGE CHECK O. " SIGNATURE SITE_ TICKET GGRID, WEIGHMASTER "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01322689 MC 6155 Cox Lane, PO Box 962 DATE IN -,DATE OUT TIME IN TIME OUT'" VE1-Ii6LE',c.,.° . -. ROLLOFF Cutchogue, NY 11935 10/20/17 10/20/17 08.50 0850 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE CRON One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 78060 LB Outbound -Charge ticket Manual Tare Wt 36600 LB QTY . UNI DESCRIPTION :- ,7 _,' _RATE EXTENSION-; FEE 2073 TON OUTGO CONST-CONTRACT 0.000 0.00 000 000 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 -° CHA GE GHEC NO.J_ SIGNATURE NO. 1630 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. 7 COMPANY: Q �� - t , SHIP DATE:o ! t COMMODITY SHIPPED: ` J 1 E LOOSE: �- LU (CU YDS) BALES: (COUNT): TRUCK WEIGHT: l":�'-'_ 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., l r,• GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER; TRANSPORTATION/FREIGHT CO r TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. l - DRIVER: U (PRINT NAME) / (SIGNATURE) } DESTINATION DISPOSAL LOCATION: `' `� ``� j DATE DELIVERED: ADDRESS: I HEREBY CERTIFYTHATTHE 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 01322732 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/20/17 10/20/17 11:40 11:40 111 14T 009316 Town of Babylon Scale 2 Gross Wt 91720 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Net Weight 53020 LB 2651 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 *"DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 01322732 MC 6155 Cox Lane, PO Box 962 Cutchogue, NY 11935 10/20/17 10/20/17 11:40 11.40 111 14T 009316 Town of Babylon Scale 2 Gross Wt 91720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 53020 LB 2651 TON OUTGO MSW 0.000 0.00 000 000 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 NO. 1636 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, ASSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: L1 J SHIP DATE: t� I COMMODITY SHIPPED: N, LOOSE: i) (CU YDS) BALES: (COUNT): 1 �r 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. 1 TRUCK NO. -�� LICENSE NO/STATE: TRAILER NO. I _ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDIABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: A A l � ��+ � �'� DATE DELIVERED: f I t ( 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. "*DUPLICATE TICKET" SITE TICKET; - GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01322761 MC 6155 Cox Lane, PO BOX 962 DATE 1N DATE OUT TIMEIN TIME OUT -VEHICLE;; `ROLL OFF= Cutchogue, NY 11935 = 10/20/17 10/20/17 13:04 13,04 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 82520 LB Outbound-Charge ticket Manual Tare Wt 36300 LB Net.Wel h 46220 LB QTY = UNIT _- DESCRIPTION =_ RATE -EXTENSION== "FEE ';__ TOTAL 23 11 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 SIGNATURE "DUPLICATE TICKET" SITE -TICKET GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01322761 MC 6155 Cox Lane, PO BOX 962 DATEIN= DATE OUT , TIME IN.TIME,OUT „=VEHICLE` ROLL OFF Cutchogue, NY 11935 - 10/20/17 10/20/17 13'04 1304 19606TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 82520 LB Outbound-Charge ticket Manual Tare Wt 36300 LB -QTY _ UNIT =` DESCRIPTION- - RATE EXTENSION- , - FEE,=-_" TOTAL' 23.11 TON OUTGO MSW 0.000 000 0.00 000 Operating hours 7.00 AM to 5 00 PM 7 days a week. A 11111111111111110N I LVA• CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY TENDERED HANGS- CHECK NOe U ^" SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. - 6778 Islandia, NY 11749 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: - LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 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,AfNDDry IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) 7SIGNATUREj TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I *DUPLICATE TICKETSITE TICKET GRID WEIGHMASTER "" . SOUTHOLD TOWN DEPT SOLID WASTE 01 01322857 Steph 6155 Cox Lane, PO Box 962 DATE IN- I DATE OUT TIME IN- TIME,OUT ,VEHICLE _ROLLOFF Cutchogue, NY 11935 V/21/17 10/21/17 0806 0806 11114T 009316 Town of Babylon REFERENCE ORIGIN FScale 2 Gross Wt 96920 LB Outbound-Charge ticket Manual Tare Wt 36220 LB Net Weight 60700 LB 77 " .'--,UNIT DESCRIPTION RATE" ` EXTENSION`=` FEE ``, TOTAL. '' 30.35 TON OUTGO MSW 0 000 0.00 000 0.00 Operating hours 7 00 AM to 5.00 PM 7 days a week,• <t" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' - 0.00 TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR.,DAY, l,, _- ° =CHAN SIGNATURE CHECK N0=1 *"DUPLICATE TICKET`* SITE `, ,,,TICKET GRID, iNE1GHMASTER; SOUTHOLD TOWN DEPT SOLID WASTE 01 01322857 Steph 6155 Cox Lane, PO BOX 962 'DATE IN ; DATE OUT, ;: TIME IN TIMEbUT VEHICLE "+' ROLLOFF, Cutchogue, NY 11935 - 10/21/17 10/21/17 08.06 0806 11114T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 96920 LB Outbound -Charge ticket Manual Tare Wt 36220 LB 60700 LB `;QTY. -" UNIT- _' DESCRIPTION•`.'' RATE- EXTENSION v•'FEE° TOTAL 30.35 TON OUTGO MSW 0 000 000 0.00 0.00 t' 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,. 'CHECK NO_ SIGNATURE c. NO. 1632 - 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: (� LA ) 'v_� U L J SHIP DATE: L { ) COMMODITY SHIPPED: W ` LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ' ` �' GROSS t TARE l7 cl 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) i, (SIGNATURE) --_. TRANSPORTER TRANSPORTATION/FREIGHT CO. _ ; i ' L y t\) TRUCK NO. Z`..�� LICENSE NO/STATE: �`p TRAILER NO. f � 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) �f DESTINATION �, y ofj � l� �U,�1 DISPOSAL LOCATION: DATE DELIVERED: 11 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,.5 _. WEIGHMASTER,_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01322912 Steph 6155 Cox Lane, PO BOX 962 DATE„IN, - i DATE QUT TIME IN, TIME OUT- ,.VEHICLE, Y „ ROLL OFF e; Cutchogue, NY 11935 .: 10/21/17 10/21/17 10.46 10.46 19606TC 009316 Town of Babylon ORIGINREFERENCE FQTy. Scale 2 Gross Wt 73180 LB Outbound-Charge ticket Manual Tare Wt. 35780 LB UNI ,' =- _ 'DESCRIPTION RATE EXTENSION ”'FEE; TOTAL 1870 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 7- - '- = ��'At� s " 'TENDERED R-` `3 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABODAY HEC NO SIGNATURE SITE ` TICKET -'GRID- = �_k WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01322912 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE OUT, TIME IN TIME OUT _,= VEHICLE. - _ _ROLL,OFF ='. Cutchogue, NY 11935 10/21/17 10/21/17 1046 10.46 19606TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 73180 LB Outbound-Charge ticket Manual Tare Wt 35780 LB QTY-. UNI, DESCRIPTION,,_, — — _ RATE.' EXTENSIONa „FEE.; TOTAL 18.70 TON OUTGO MSW 0.000 0.00 000 0.00 r i • -3 s4'S _ >r Operating hours 7.00 AM to 5:00 PM 7 days a week-', ::' - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , - ; n nn NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR-DAY,' ,TENDERED" -. CHANGE =CHC NO." SIGNATURE L TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road Islandia, NY 11749 � NO. 6779 (631) 342-9673 THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: < COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ° GROSS TARE i NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) - (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. - r TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. J ` NO. 1635 GENERATOR s THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N,OTT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 3 !' COMPANY: C) �-� ' Z ;_� I— SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): , TRUCK WEIGHT: f S' GROSS f f 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) f,s TRANSPORTER TRANSPORTATION/FREIGHT CO. ! TRUCK NO. 115 �— —• 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 DISPOSAL LOCATION: I ��i ) ` `� DATE DELIVERED: ADDRESS: j 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 DISPOSAL LOCATION TICKET NO. -SITE .., `TICKET=' `_i '`,' I „ GRID = WEIGHMP STER SOUTHOLD TOWN DEPT SOLID WASTE 1 01323410 Steph 6155 Cox Lane, PO BOX 962 ,DATEI14= -DATE OUT-,, • TIME IN, TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 -�,�w 101,2 7 10/23/17 10.18 10:18 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE O. IGIN One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 52820 LB Outbound-Charge ticket Manual Tare Wt 36260 LB QTY'_ UN _ _` DESCRIPTION, _' = " ° 'RATE EXTENSION -- FEE~- TOTAL''- --828 TON 3ingle Stream Recycl 15.000 12420 000 124.20 Operating hours 7.00 AM to 5 00 PM 7 days a week,,',, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 12420 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY'" TENDEREC%,"' CHANGE'-,' - >CHIECK NO.' SIGNATURE SITE TICKET- GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01323410 Steph 6155 Cox Lane, PO BOX 962 DATE_IN __DATE OUT_ TIME IN TIME OUT -` VEHICLE ROLLOFF Cutchogue, NY 11935 10/23/17 10/23/17 10.18 110:18 11114T C 009306 Town of Brookhaven Waste ManagREFERENCE �. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 52820 LB Outbound-Charge ticket Manual Tare Wt 36260 LB 1 11 F-7-:Y,.- , - UN _ DESCRIPTION. `., -, RATE, 'EXTENSION„' ,, FEE TOTAL 828 TON 3ingle Stream Recycl 15 000 12420 000 124.20 Operating hours 7 00 AM to 5 00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 !N y< 20 NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY , TENDERED - §CHAN E-, =CHECK O. SIGNATURE NO. 1634 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: z�JU irk �� .-�3 SHIP DATE: `` COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: w, j 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._ if �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 y , DISPOSAL LOCATION: I--) J ' { � `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. SI "DUPLICATE TICKET"` TE TICKET_' GRID` ' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01323366 Steph 6155 Cox Lane, PO Box 962 CUfChO9Ue, NY 11935 ;DATE IN, DATEbUT _TIME°IN TIME-OUT r VEHICLE ROLLOFF'4 10/23/17 10/23/17 07.46 07.46 11114T 009306 Town of Brookhaven Waste Manag �+ J One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt 59420 LB Outbound- Charge ticket Manual Tare Wt 36220 LB Net Wel ht 23200 LB QTY ' UNIT „aESCRIPTION " RATE-',, ,' EXTENSION FEE-a TOTAL:,,, _- 11.60 TON Single Stream Recycl 15 000 174 00 0 00 174 00 Operating hours 7.00 AM to 5.00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 17400 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY ;TENDERED,. "'CHANGE'- SIGNATURE **DUPLICATE TICKET*" SITE- "t1bKET _GRID-_'Rr SOUTHOLD TOWN DEPT SOLID WASTE 01 01323366 Steph 6155 Cox Lane, PO BOX 962 77- iwiN "DATE OUT"' ',TIME IN TIME-OUT ''-VEHICLE- -- ROLL OFF' Cutchogue, NY 11935 - 10/23/17 10/23/17 0746 0746 11114T 009306 Town of Brookhaven Waste ManagREFERENCE _ One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt 59420 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Ne Weicht 23200 B QTY = UNIT DESCRIPTION, m .' IRATE__- `EXTENSION '_ FEE-, TOTAL 11 60 TON Single Stream Recycl 15.000 17400 000 17400 Operating hours 7 00 AM to 5.00 PM 7 days a week. • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 17400 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY _TENDERED-:_ ==CHECK NO. SIGNATURE NO. 1633 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: 1 < < �� SHIP DATE: COMMODITY SHIPPED: E LOOSE: J 4> (CU YDS) BALES: (COUNT): 1 TRUCK WEIGHT: GROSS f"VEL' 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. f r I � TRUCK NO. } LICENSE NO/STATE: 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 f -DRIVER: (PRINT NAME) o' (SIGNATURE) DESTINATION DISPOSAL LOCATION: V DATE DELIVERED: I I l ADDRESS: 1 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 TICKET- `x 'GRID 'WEIGHMASTER ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01323671 Steph 6155 Cox Lane, PO BOX 962 '_DXTE_IN" DAT_E OUT ;TME IN T_IME OUT VEHICLE '° Cutchogue, NY 11935 10/J4/17 10/24/17 13.02 13.02 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 78260 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB QTY. w `w, ,UNI, DESCRIPTION -, RATE,--- .<` EXTENSION FEE', TOTAL: 21 00 TON OUTGO MSW 0.000 0.00 0.00 000 � i i t •t rIlk ,f4S Operating hours 7 00 AM to 5.00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 '--, ,." "• -,1.-,,TENDERED NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY' CHECK NO SIGNATURE SITE ^.TICKET GRID_= _� WEI_GHMASTER--'" '*DUPLICATE TICKET'' SOUTHOLD TOWN DEPT SOLID WASTE 01 01323671 Steph 6155 Cox Lane, PO Box 962 7 DATE IN =DATE OUT `' _''TIME IN`TIMEOUT VEHICLE _• k,,°ROLLOFF', Cutchogue, NY 11935 10/24/17 10/24/17 13 02 13:02 11114TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt 78260 LB Outbound-Charge ticket Manual Tare Wt 36260 LB I.Al QTY `` U RI_PT19ht RATE-„ EXTENSION =,FEE 21.00 TON OUTGO MSW 0 000 000 000 0.00 Operating hours 7 00 AM to 5:00 PM 7 days a week'„t ; ”` CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685Ono NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY' _•TENDERED SIGNATURE NO. 1638 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. 9 COMPANY: ✓� I.L -� ) SHIP DATE: COMMODITY SHIPPED: f� L LOOSE: 1 (-J U (CU YDS) BALES: (COUNT): t^ . TRUCK WEIGHT: I. U GROSS TARE NET HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION r ��arf3 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) �.. TRANSPORTER 4 rj TRANSPORTATION/FREIGHT CO. TRUCK NO. 2 LICENSE NO/STATE: 71 TRAILER NO. / � -) LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITELISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) r DESTINATION �J } f` J! + J 1 1\j Lu � DATE DELIVERED: DISPOSAL LOCATION: 1 � V i / ! ADDRESS: 1 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 TICKET GRID WEIGHMASTER "DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 1 01323593 Steph 6155 Cox Lane, PO BOX 962DATE IN - D_AT_E OUT_ TIME I_ TIME OUT 'VEHICL_E _ ROLL OFF_ Cutchogue, NY 11935 6/24/17 0/24/17 908 9.08 1 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence HIII Farmingvllle NY 11738 Scale 2 Gross Wt 66900 LB Outbound-Charge ticket Manual Tare Wt 36220 LB QTY ., pESCR1PTION F _ , RATE,`;,. EXTENSION - `FEE _ ","TOTAL 5.34 TON UTGO.CONST-CONTRACT 0 000 0.00 000 000 r.) j l• y Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS- QUESTIONS CALL 631-734-768,5 c: 000 NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY' .,TENDERED` HANG CHECK'NO'. % SIGNATURE iSITE TICKET GRID_ -W E "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 1 01323593 Steph 6155 Cox Lane, PO Box 962 -,,DATE IN,_; DATE OUT TIME IN TIME�OUT 'VEHIOLE' ,ROLL' Cutchogue, NY 11935 0/24/17 10/24/17 39 08 D9 08 11114T 009306 Town of Brookhaven Waste ManagREFERENCEOne Independence Hill Farmin ville NY 11738 Scale 2 Gross Wt 66900 LB Outbound-Charge ticket Manual Tare Wt 36220 LB QTY:- _ RI_PTIO RATE =u EXTENSION FEE TOTAL ,` 1534 TON DUTGO CONST-CONTRACT 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 ',_'" `44^ ; ,a NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR DAY' =7ENDEREQ` ` ` =-CHEQ_KNO- SIGNATURE ,_' NO. 1637 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: ? I COMMODITY SHIPPED: 1c ,- M { LOOSE: I () C (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ci U 0 GROSS TARE LSU NET _f 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. f r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 1J `i TRUCK NO. }} LICENSE NO/STATE: ZVI TRAILER NO. 1 �� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) r� (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,.I � `� �I,'1 V �. `�� DATE DELIVERED: ADDRESS: 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 DISPOSAL LOCATION TICKET NO. SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01323796 Steph 6155 Cox Lane, PO BOX 962 DATE IN DATE__OUT' TIME IN TIME OUT_ VEHICLE ROLLOFF= Cutchogue, NY 11935 10/25/17 10/25/17 12 47 1247 111 14T 009316 Town of Babylon FScale 2 Gross Wt 78220 LB Outbound- Charge ticket Manual Tare Wt 38700 LB -" QTy UNIT DESCRIPTION_ RATE _ EXTENSION : '- FEE TOTAL,,, 19.76 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'0AY• `- TENDERED- ' CHECK-,NO" SIGNATURE _SITE " TICKET` `'GRID "- WEIGHMASTER "DUPLICATE TICKET** SOUTHOLD TOWN DEPT SOLID WASTE 01 01323796 Steph 6155 Cox Lane, PO Box 962 DATE,IN DATE OUT TIMEIN TIME_OUT .,VEHICLE', ;u '`rROLLOFF»£_ Cutchogue, NY 11935 10/25/17 10/2 12.47 12.47 111 14T 5/17 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 78220 LB Outbound-Charge ticket Manual Tare Wt 38700 LB Nip- Wep-irih lclr12n I R 7 QTY__ UNIT DESCRIPTION RATE_ Y E)9ENSION _ FEETOTAL 19.76 TON OUTGO MSW 0 000 0.00 000 000 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 = HECK-NO. SIGNATURE NO. 1640 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 1� �� ' , _!\� SHIP DATE: h-lt COMMODITY SHIPPED: L� f LOOSE: I (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f=_act GROSS Com`' TARE 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. 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) 1 (SIGNATURE) i DESTINATION DISPOSAL LOCATION: ) �` f �'U ( r —fit } l 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 WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01323747 MC 6155 Cox Lane, PO BOX 962 DATE INDATE OUT ; TIME IN TIME OUT £VEHICLE _ ROLL OFF Cutchogue, NY 11935 10/25/17 10/25/17 0903 09.03 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt 88420 LB Outbound-Charge ticket Manual Tare Wt 36000 LB NP Wpinht 5242Q LB =QTy. -` UNIT DESCRIPTION`_ - RATE = EXTENSION} '-= FEE _; TOTAL`- 2621 TON OUTGO MSW 0 000 000 0.00 000 Operating hours 7.00 AM to 5 00 PM 7 days a week"'A 7-TENDEFRIED CLOSED HOLIDAYS -QUESTIONS CALL 631-734-7685 ' ,, _ +NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAYS "tCHECK NO:' SIGNATURE {SITE _--TICKET GRID WEIGHMASTER "`DUPLICATE TICKET** ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01323747 MC 6155 Cox Lane, PO Box 962 DATEIN° DATE OUT TIME-IN-TIMEOUT y, ,=VEHICLE_ ,,, --,ROLLOFF,, , Cutchogue, NY 11935 10/25/17 10/25/17 09.03 09 03 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 88420 LB Outbound-Charge ticket Manual Tare Wt 36000 LB QTY. UNI ,°DESCRIPTION .- RATE EXTENSION= ''°FEE _ 7TOTALU 26.21 TON OUTGO MSW 0 000 0.00 000 000 - k 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= `C ECK NO. ,SIGNATURE NO. 1639 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N6T\A(S�SUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: LrJ iJ CJ� I , !' �- SHIP DATE: I / COMMODITY SHIPPED: LOOSE: L (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE if} 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 'v TRANSPORTATION/FREIGHT CO. f i / � �r TRUCK NO. % LICENSE NO/STATE: TRAILER NO. I 1 �J LICENSE NO/STATE: J' I 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: j (PRINT NAME) f-� (SIGNATURE) DESTINATION DISPOSAL LOCATION: V11All DATE DELIVERED: ADDRESS: 0 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" /SlTiT TICKET;='"'-- "GRID ;, aWEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01323855 MC 6155 Cox Lane, PO Box 962 DATE IN - DATE OUT TIME IN TIME OUT -VEHICLE ROLL OFF, Cutchogue, NY 11935 - - 10/26/17 10/26/17 08 49 08 49 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill •. Farmingville NY 11738 Scale 2 Gross Wt 60280 LB Outbound- Charge ticket Manual Tare Wt 35500 LB Ne Weiaht 24780 LB QTY UNIT DESCRIPTION., "' :RATE" EXTENSION= FEE_T' TOTAL" 1239 TON Single Stream Recycl 15 000 18585 000 18585 t v A �,„� ^;.„mom °f 3 •/ - j"4 Operating hours 7 00 AM to 5 00 PM 7 days a week{ i `s ``^' -.z=` ;� - - ; ? • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768_5 ",I. e g� ^ ; : 185.85 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY!` TENDERED ,. CHANGE CHECK NO. --j SIGNATURE "DUPLICATE TICKET" SITE TICKET' "GRID � 1NEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01323855 MC 6155 Cox Lane, PO Box 962 DATE IN,=_; DATE,oUT° . TIME,IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 10/26/17 10/26/17 0849 08`49 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 60280 LB Outbound-Charge ticket Manual Tare Wt 35500 LB QTY UNI = ;DESCRIPTION RATE EXTENSION FEE TOTAL _ 1239 TON Single Stream Recycl 15 000 18585 000 185.85 `" - i x Operating hours 7 00 AM to 5 00 PM 7 days a week`q: ' ' M' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76R°85 ,"-4, ,-. ,4 :., {`r 185 85 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABODAY' �t `;,..TENDERED ' CHANGE.'• HECO. SIGNATURE NO. 1641 GENERATOR THIS MANIFEST IS FOR REFEREdNGE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT,ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I ' COMPANY: 0 V C. - SHIP DATE: COMMODITY SHIPPED: s,4 s -51 `! t 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 AUTHOR IZED'AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 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: (PRINT NAME) r` (SIGNATURE) DESTINATION a / ' DISPOSAL LOCATION: �' —' ' ` — !.p - 'tel' 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 ,TICKEr-< , .=GRID WEfGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01323883 MC 6155 Cox Lane, PO BOX 962 DATE IN= DATE OUT'° ' TIME IN`TIME OUT _ VEHICLES 'ROLLOFF' Cutchogue, NY 11935 - __ - 10/26/17 10/26/17 111.35 11.35 11114TC 009316 Town of Babylon Scale 2 Gross Wt 85460 LB Outbound -Charge ticket Manual Tare Wt 36300 LB Ne Weiaht 49160 LB QTY. UNIT DESCRIPTION = RATE EXTENSION'- —= FEE - :`,'TOTAL 24 58 TON OUTGO MSW 0 000 000 000 000 ' * fy} A _ Lf_ Operating hours 7.00 AM to 5 00 PM 7 days a week 4 '`°= • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:y 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY= TENDERED CHANGE CHECK NO^• ',•" SIGNATURE SITE - TICKET`-- `GRIQ- _ WE[C,HMASTER w. "DUPLICATE TICKET" _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01323883 MC 6155 Cox Lane, PO BOX 962 ,DATE'IfV 11 DATE OUT' TIME IN TIME OUT VEHICLE = ROLL'OFF r" Cutchogue, NY 11935 - 10/26/17 10/26/17 11 35 11.35 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 85460 LB Outbound-Charge ticket Manual Tare Wt 36300 LB UNI DESCRIPTIONRATE� „ -TOTAL 2458 TON OUTGO MSW 0 000 000 000 000 -tri - �r Operating hours 7.00 AM to 5 00 PM 7 days a week =, - -- :% . • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 =_ f, - gt ;'P 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR''DAY 'TENDERED' ° -CHANGE "CHECK O.'"""'=" SIGNATURE NO. 8231 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NO TASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ) COMPANY: �- �'�~ l I SHIP DATE: c' C I COMMODITY SHIPPED: IV) �'j 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. tt v L 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 LISTEDABOVE, 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. WEIGHM R (-SITE TIPIKET-_'�r, -GRID ASTI **DUPLIC,,ATE TICKET** SOUTHOI TOWN DEPT SOLID WASTE 01 01324036 Dan L, dt 6155 Cox Lane. PO Box 962 -,I)ATE IN �`DATE�OUT' Tim I'ME OUT, -VEHICLE ROLL,OF N, Cutchogue, NY--1 1935 10/27/17 10/27/17 12.51 112.51 1 111 14TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 60140 LB Outbound-Charge ticket Manual Tare Wt. 36280 LB K1_ I A/-.-1,4 VNP 2bWRIPTION'� -fRATE —EXTENSION QTY. FEE ��_7�__TOTAL , 11 93 TON 3ingle Stream Recycl 15000 178.95 000 178.95 Operating hours 7-00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 17895 --��_-'--TENDERED, NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY `�_�-CHANGE --CHE,K,NO� SIGNATURE R rpfftj,� VCKET,*�- ,YVEIGk �STE "DUPLICATE TICKET— SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01324036 Dan 6155 Cox Lane, PO Box 962 -';DATE IN - OUT TIME--IN TIME OUTj__-_15 ROLLOFF __��EfHfCLE Cutchogue, NY 11935 ,10/27/17 10/27/17 12-51 12.51 111 14TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farminciville NY 11738 77 Scale 2 Gross Wt 60140 LB Outbound-Charge ticket Manual Tare Wt 36280 LB 'RATE --',EXTENSION 7N "FEE TOTAL-, 7 19MIPTIOV-, 11.93 TON Single Stream Recycl 15000 17895 0.00 17895 Operating hours 7 00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. r JENDER NEXT HOLIDAY. MONDAY, SEPTEMBER 4TH, LABOR DAY SIGNATURE NO. 1651 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. 1 COMPANY: - I SHIP DATE: 1 D 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. J LICENSE NO/STATE: TRAILER NO. �� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: J (PRINT NAME) (SIGNATURE) Ls j DESTINATION DISPOSAL LOCATION: `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* SITE `W - TICKET'_ GRID `_- EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01323951 Dan 6155 C ox Larie, PO BOX 962 DATE IN -_ DATE OUT .TIME IN TIME OUT VEHICLE _ ROLL OFF= Cutchogue, NY 11935 _ 10/27/17 10/27/17 7 25_ 107 25 11114T 009306 Town of Brookhaven Waste Manag One Independence HIII REFERENCE •_ Farmingville NY 11738 Scale 2 Gross Wt 70700 LB Outbound-Charge ticket Manual Tare Wt 35940 LB OTY:'," UNIT, ",DESCRIPTION , 'RATE EXTENSION.. `` FEE TOTAL" 1738 TON Single Stream Recycl 15 000 26070 000 26070 - 4 k4 -J Operating hours 7.00 AM to 5.00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -' f ` 260.70 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY"" TENDERED .- = CHANGE,' _GHECKNO '. SIGNATURE SITE "TICKET' GRID _ `WEIGHMASTER **DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01323951 Dan 6155 Cox Lane, PO Box 962 pATEIN,' ' DATE OUT TIME:IN TIME OUT VEHICLE ROLL',OFF__F;,°', Cutchogue, NY 11935 10/27/17 10/27/17 0725 07.25 11114TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt 70700 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY=, UNI DESCRIPTION_ `RATE EXTENSION `:> - FEE _ TOTAL 1738 TON Single Stream Recycl 15 000 26070 000 260.70 Operating hours 7.00 AM to 5.00 PM 7 days a week. -Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -; - 26070 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAYTENDERM' -CHAN E--' CHECK NO.=-.,. SIGNATURE s s NO. 1642 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: �� 6 �- t SHIP DATE: 1 1 COMMODITY SHIPPED: i LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 3 r fru% TARE l� NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. l s t TRUCK NO. 2— -% LICENSE NO/STATE: TRAILER NO. I l 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: r" (PRINT NAME) (SIGNATURE) -� DESTINATION DISPOSAL LOCATION: e�i is .� {�-` '`�'/ -� DATE DELIVERED: t 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. "DUPLICATE TICKET" s►TE � :TICKET raRlo;=_ h_ WEIGH_MASTe SOUTHOLD TOWN DEPT SOLID WASTE 01 01323995 Dan 6155 Cox Lane, PO BOX 962 „DATE IN: DATE OUP TIME IN TIME OUT VEHICLE' ROLL OFF Cutchogue, NY 1135 = 10/27/17 10/27/17 10.17 10,17 11114T 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 81220 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Net Wei ht, 44600 LB ;' 'Qiy ;'UNIT"'`";_:':r; DESORIFTION RATE'r =EXTENSION'.',:` ":M'3,,FEE 1OTAL's,= 2230 TON DUTGO CONST-CONTRACT 0.000 000 000 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a week `�; ` `i. , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85.F'.` .% i' 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY „9'r' r' .—.,a ''3" TENDERED;:. CHA CECK NO SIGNATURE SITE 71GKET =;GRID` ' WEIGHMASTER-`= **DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01323995 Dan 6155 Cox Lane, PO Box 962 DATE INz- DATE OUT. TIME IN T1ME OUT, .VEHICLE';„ ;ROLL OFF`; Cutchogue, NY 11935 10/27/17 10/27/17 10.17 10.17 1 11114TC 009306 Town of Brookhaven Waste ManagREFERENCE _ One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 81220 LB Outbound-Charge ticket Manual Tare Wt 36620 LB KJ.- NA/pinht 44600 LB QTY UNIT RATE EXTENSION:;` FEE,_ 'TOTAL` 22.30 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 -� __ y. „ ., ``. ;. 0.00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY " "ir ,'r;,y, TENDERED,,,;.I,,,;p,;,,,, SIGNATURE NO. 165 ® GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N-T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: /� � I � GE i-1 SHIP DATE: Z 1 t I COMMODITY SHIPPED: c LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: - t= GROSS `7 6 TARE z , `/I- NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) _.--- (SIGNATURE) -- - TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. I LICENSE NO/STATE: TRAILER NO. 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. s DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION:" `-f -' DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -. 1:- � - "WEfG _V rsl-( I " rrICkET`_' RID HIVIAST **DUPLICATE TICKE 'G ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01324137 Steph 6155 Cox Lane, PO Box 962 RJO L h� JIMEINItME60 1 0 — Cutchogue, NY 11935 LIT YEHICILE 7,� 10/28/17 10/28/17 07-27 1 07-27 111 14TC 009316 Town of Babylon REFERENCE — Scale 2 Gross Wt. 87100 LB Outbound-Charge ticket Manual Tare Wt 36620 LB Nli-� Wpinht 50480 1 R TE,,�'�� EXTENSION,, -DESGRIPTION RA 'FEE,; -TOTAL,,, U N 11T �',Qwz, 2, 7 2524 TON DUTGO 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 TENDERED", NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR"DAY" ZHANGE SIGNATURE 61#TJ �kd i�ET- GRID' �, "DUPLICATE TICKET�* SOUTHOLD TOWN DEPT SOLID WASTE 01 01324137 Steph 6155 Cox Lane, PO Box 962 P4 _DA E OU, UT ICLE"', E�N T T Tlmpq�IME-O' � ROLL Cutchogue, NY 11935 .10/28/17 10/28/17 07.27 1 0727 111 14TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 87100 LB Outboun d-Charg e ticket Manual Tare Wt 36620 LB ATE,-,, -1),,EX- -7 IBM R CRIPTION, TENSION,,,�..,, 2524 TON DUTGO.MSW 0000 000 000 0.00 �2 ANNE.............WIM11 Operating hours 7 00 AM to 5 00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76�5 000 7`7'�_TENDERM`�` NEXT HOLIDAY- MONDAY, SEPTEMBER 4TH, LABOR DAY' "CHECK NO. SIGNATURE R NO. 1652 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. i pp COMPANY: i t 1•� i L�) ��' ll j SHIP DATE: I I COMMODITY SHIPPED: h -�\1111, I LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 f� O GROSS G 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(A-PPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I F TRUCK NO. -j LICENSE NO/STATE: 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 INCIDE T1�T0 THE DESTINATION LISTED BELOW. y� DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: i/ / DATE DELIVERED: 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01324153 Steph 6155 Cox Lane, PO BOX 962 DATEIN _.DATEOUT TIM6N'TIMEOUT 'VEHICLE ;ROL=L OFF Cutchogue, NY 11935 10/28/17 10/28/17 0827 0827 19606TC 009316 Town of Babylon REFERENCE = •. Scale 2 Gross Wt 87460 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Ne Weiaht 20 LB QTY ,a ' 'UNIT" DESCRIPTION RATE"' '` EXTENSION `_ FEE'`''` TOTAL 2596 TON DUTGO MSW 0 000 000 000 0.00 r 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'bAY" 5 TENDERED- CHANGE .,CHECK N . v, SIGNATURE SITE TICKET GRID = ,,WEIGHMASTER, _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01324153 Steph 6155 Cox Lane, PO Box 962 , DATE,IN,.4 DATE,OUT TIME IN,TIME OUT VEHICLE, = ROLL OFF Cutchogue, NY 11935 _ 10/28/17 10/28/17 08.27 08.27 19606TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt 87460 LB Outbound-Charge ticket Manual Tare Wt 35540 LB �Qw, >> UNI DESCRIPTION' _-',_,RATE° EXTENSION FEE' j,_ TOTAL 2596 TON OUTGO MSW 0 000 000 000 0.00 ry Operating hours 7 00 AM to 5 00 PM 7 days a week.-, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ,s 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY' TENDERED_ CHECK NO. SIGNATURE TRINITY TRANSPORTATION CORPORATA T- 214 Blydenburgh Road NO. 678® 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: -1' ' : - GROSS TARE 1 ? 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 TRANS PORT_A.TION-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) SIGNATUREIDATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE 'TICE GRID_ , ,. ,=-WEIGHMASTER *"DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01324571 Steph 6155 Cox Lane, PO BOX 962DATE IN " DATE OUT TIME IN TIME OUT :_ `VEHICLE i""� ROLL`OFF Cutchogue, NY 11935 I0/Z0/17 10/30/17 10.41 1041 11 114T 009306 Town of Brookhaven Waste Manag REFERENCE O. IGIN One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 85280 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY., _ UNIT - DESCRIPTION =r RATE EXTENSION== , -, FEE TOTAL 2467 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 \ ., JENDERED, - >„ NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR'DAY CHANGE- ',CHECK NO SIGNATURE •SITE "TICKET, GRID ,WEIGHMASTER`>_ **DUPLICATE TICKET** ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01324571 Steph 6155 Cox Lane, PO Box 962 DATE IN '--�DA7E OUT "TIME '''IN TIME OUT VEHICLE=' ROIL OFF Cutchogue, NY 11935 10/30/17 10/30/17 10:41 1041 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 85280 LB Outbound-Charge ticket Manual Tare Wt 35940 LB QTY- _ UNI t = DESCRIPTION RATE- ,_ EXTENSION FEE TOTAL- 2467 OTAL=2467 TON OUTGO CONST-CONTRACT 0 000 000 000 000 :j '4 1 ry7 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` °t� E s r TENDERED •r `;` = —=-CHANGE CHECK-NO,,{M-)' SIGNATURE NO. 1674 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOf-XSISUME ANY LIABILITY�ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 0 L 3) SHIP DATE: COMMODITY SHIPPED: IV\ LOOSE: ( ? U (CU YDS) r 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 TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION f rj✓�? t� 13 DISPOSAL LOCATION: 1 �/ /U t ` i I �� r , A IJ / 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. S17E ' "TICKET GRID= wEIGHMASTER' " SOUTHOLD TOWN DEPT SOLID WASTE 01 01324530 Steph 6155 Cox Lane, PO Box 962 DATE IN . DATEOUT, TIME W TIME,OUT VEHICLE —ROLLOFF,.- Cutchogue, NY 11935 10/30/17 10/30/17 07.34 07'34 111 14T 009306 Town of Brookhaven Waste Manag •REFERENCE _ One Independence HIII Farmingville NY 11738 Scale 2 Gross Wt 61980 LB Outbound-Charge ticket Manual Tare Wt 36000 LB Nei Weioht 25980 LB ^ ,QTY", r° UNIT DESCRIPTION RATE EXTENSION FEE_ TOTAL', 1299 TON Single Stream Recycl 15 000 19485 000 19485 Operating hours 7 00 AM to 5 00 PM 7 days a week • • CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685' , " + 19485 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY ` TENDERED CHANGE, _- 'CHECK NO SIGNATURE SITE '-. TICKET GRID-.'.' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01324530 Steph 6155 Cox Lane, PO Box 962 DATE IN- DATE OUT, TIME IN, TIME OUT VEHICLE`, _• -!ROLL OFFa;,,, Cutchogue, NY 11935 - 10/30/17 10/30/17 07 34 07 34 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •, One Independence Hill CE Farmingvllle NY 11738 Scale 2 Gross Wt. 61880 LB Outbound- Charge ticket Manual Tare Wt 36000 LB :.QTY.;.'a UNI' „ _ '.DESCRIPTION =- RATE EXTENSION", FEE , TOTAL 1299 TON Single Stream Recycl 15 000 19485 000 194.85 Operating hours 7 00 AM to 5 00 PM 7 days a week.._ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 -• 'r 194 85 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY =' "` TENDERED = : r CHANGE CHECK NO. =:' - SIGNATURE NO. 1673 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: `' `' < .SCC � J I COMMODITY SHIPPED: / LOOSE: c) y (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-26"1-0`R ANY,APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION,` CCO�R'DING 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 �`f DRIVER: (PRINT NAME) (SIGNATURE) �l r� DESTINATION o DISPOSAL LOCATION: 1' " ' NJ DATE DELIVERED: ADDRESS: I 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 DISPOSAL LOCATION TICKET NO. SITE TICKET`= _ '` GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01324757 Steph 6155 Cox Lane, PO Box 962 ,DATEIN }:DATE OUT , TIMEIN TIME'OUT . VEHICLE_' ,,,IL:'.', °ROLLOFF,,'E Cutchogue, NY 11935 10/31/17 10/31/17 09°46 0946 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 61260 LB Outbound- Charge ticket Manual Tare Wt 36000 LB NP Wpinht 25260 a QTY.'- UNIT ,-DESCRIPTION.'°` RATE; EXTENSION , FEE``- TOTAL- 1263 TON Single Stream Recycl 15 000 189.45 000 18945 ..* •� § (.tet`J � ra Operating hours 7.00 AM to 5 00 PM 7 days a week" CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 189.45 >;.,. 'TENDERED', t ' NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR�DAY` "i"41, << t;` ;` CHANGE-- CHECK>NQ SIGNATURE SITE TICKET;' ;,GRID£{ ,, �WEIGHMASTER' ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01324757 Steph 6155 Cox Lane, PO Box 962 DATE IN %DATL OUT T6/16NTIME OUT - VEHICLE ROLLOFF Cutchogue, NY 11935 10/31/17 10/31/17 09°46 0'9 46 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 61260 LB Outbound-Charge ticket Manual Tare Wt 36000 LB _ .QTY, UNIT DESCRIPTION, _., v _ RATE EXTENSION A FEE, NOTAL^,� 1263 TON Single Stream Recycl 15.000 189.45 0.00 18945 Operating hours 7:00 AM to 5.00 PM 7 days a week`s, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685" ,,' r> - `'y189.45 NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR`�DAY ;;`v`; , I; <. :i: :TENDERER= SIGNATURE _ NO. 1653 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ! j k L- �- 1 1 SHIP DATE: ' COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ( � GROSS TARE j-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 CON DITION,FOR-TRANSP`ORTATION ACCORDING Ta APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) �j TRANSPORTER TRANSPORTATION/FREIGHT CO. r TRUCK NO. -' LICENSE NO/STATE- TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISA.ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. , P, DRIVER: --�'a rL /✓�' � (PRINT NAME) !' (SIGNATURE) R r DESTINATION DISPOSAL LOCATION. DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE TH&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 iNE1GHMASTER:_- SOUTHOLD TOWN DEPT SOLID WASTE 01 01324718 Steph 6155 Cox Lane, PO Box 962DATEIN DATE OUT ' TIMEIN TIME OUT VEHICLE „i_', ' ROLLOFF'," Cutchogue, NY 11935 - 10/31/17 10/31/17 07 19 07.19 11114T 009306 Town of Brookhaven Waste Manag 9. One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt 76880 LB Outbound- Charge ticket Manual Tare Wt 38700 LB NP Wpinht 38180 LR QTY ;= UNIT >,„ , c DESCRIPTION - RATE, _ `EXTENSION FEE 1909 TON OUTGO CONST-CONTRACT 0 000 000 000 0.00 Operating hours 7 00 AM to 5 00 PM 7 days a weeks CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.} ,• ~ ' .---= 000 t trr ; TENDERED =4 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABORQAY CHECK NO. SIGNATURE SITE TICKET " "61:1115, j "_WEIGHMASTER;,,,.' ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01324718 Steph 6155 Cox Lane, PO Box 962 DATE IN"",:,DATE 06T ' -TIM'E,IN` TIME OUT VEHICLE "_ ROLE OFF',' Cutchogue, NY 11935 10/31/17 10/31/17 07.19 07.19 11114T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingvllle NY 11738 Scale 2 Gross Wt 76880 LB Outbound- Charge ticket Manual Tare Wt 38700 LB We E3 QTY DESCRIPTION _ = RATE_ EXTENSION - FEE- TOTAL` 19.09 TON OUTGO CONST-CONTRACT 0 000 0.00 000 0.00 '-� -7 Operating hours 7.00 AM to 5.00 PM 7 days a week.. `, _ ` d 'p `` '°` • 'CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7685 '3.- a fs 00 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY�j z` i; °ab" ' =` TENDERED —CHECK O. =__ SIGNATURE NO. 1675 GENERATOR THIS MANIFEST IS FOR REFEREJJCE 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: IJ SHIP DATE:` COMMODITY SHIPPED: LOOSE: ! (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1 += L) 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 APPLICABL-BLELAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORT TION ACCO TQ APPLICABLE REGULATION / r� GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ----TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE-GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: ' (PRINT NAME) ,f' (SIGNATURE) DESTINATION DISPOSAL LOCATION: V ' V DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT-THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVEDBY: 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' WEIGHMASTERr Ty' " SOUTHOLD TOWN DEPT SOLID WASTE 01 01324848 Steph 6155 Cox Lane, AO Box 962 DATE IN DATE oUT - TIME IN TIME OUT- ' VEHICLE ROLL OFF+ Cutchogue, NY 11935 ; 10/31/17 10/31/17 1212 1212 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt 99000 LB Outbound- Charge ticket Manual Tare Wt. 35940 LB QTY"' UNIT =_ _DESCRIPTION_ RATE' z=EXTENSION_`_'_ `-3 FEE :�_TOTdAL �, 31 53 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'y-''";: - — �` 000 ° TENDERED 1. NEXT HOLIDAY: MONDAY, SEPTEMBER 4TH, LABOR"DAY ` !;.;','k rt?V` CHANGE _ CHECK NO. -' SIGNATURE _j SITE TICKET` ` 'GRID ` = _ WEIGHMASTER ,. ""DUPLICATE TICKET ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01324848 Steph 6155 Cox Lane, PO Box 962 DATE IN DATE OUT; ' TIME IN TIME OUT VEHICLE';, ROLL OFF° Cutchogue, NY 11935 10/31/17 _10/31/17 1212 1212 11114TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 99000 LB Outbound -Charge ticket Manual Tare Wt 35940 LB Pja 14-10t 12 FEEDECIPION_ _ TOTAL UI 31 53 TON OUTGO MSW 0 000 000 0'00 0.00 !-,fJ 4 .• ��l F> of`` � J-t'=%'' �*4 Operating hours 7.00 AM to 5.00 PM 7 days a week: - CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'-- y." 0 00 .... , r' TENDERED 'r- NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR DAY~ u14'.; �' i1•y CHAN CHECK NO. SIGNATURE } NO. 1654 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: ��' Lk � ) � l-- SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS Ie f�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 A660RDING TQ APPLICABLE REGULATION. to _�-..:::,w.•�»a...-�..�....,_^-�-�� - _ -_-_~ '` GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. fit - ti �> I 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. tJ � / DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: CbV J i j� �\ -� 4 L( DATE DELIVERED: I � , ADDRESS: v 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: I 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 _ UVEIGHMASTER.""- SOUTHOLD TOWN DEPT SOLID WASTE 01 01324907 Steph 6155 Cox Lane, PO BOX 962 DATE'IN ":'DATE OUT y= TIME IN; TIME OUT VEHICLE Cutchogue, NY 11935 10/31/17 10/31/17 13:58 13 58 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt 85160 LB Outbound- Charge ticket Manual Tare Wt 36620 LB Ne Weiaht 48540 B - ' QTY._ ` - _--UNIT" 'Y - DESCRIPTION ` '' RATE= EXTENSION" FEE 7-TOTAL--' 2427 TON OUTGO MSW 0 000 000 000 0:00 r.� o, '*' `•- .c` Operating hours 7 00 AM to 5 00 PM 7 days a week�\ d_ f _. ro a:f , h� • �f 0". CLOSED HOLIDAYS- QUESTIONS CALL 631-7344685 ;� . Y<' __ t,? µrk 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR-DAY}` ;, ,,�,?,, °;'aa `} '. a TENDERED 7 ` t CHANGE „ C HECK NO. SIGNATURE SITE TIGKET'., ~.- GRID`; .WEIGHMASTER.' "DUPLICATE TICKET"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01324907 Steph 6155 Cox Lane, PO Box 962 DATE IN_, DATE OUT TIME=1N' TIME OUT VEHICLE£ ROLL'OFFr, Cutchogue, NY 11935 10/31/17 10/31/17 13.58111358 19606TC REFERENCE 009316 Town of Babylon •, Scale 2 Gross Wt 85160 LB Outbound- Charge ticket Manual Tare Wt 36620 LB QTY...= uNly DESCRIPTION " " RATE ,EXTENSION;._ -.,,FEE,-= JOTAL;- 24 27 TON OUTGO MSW 0 000 0.00 000 0.00 Operating hours 7.00 AM to 5.00 PM 7 days a weeki y,. `, yl�<°;:' lT.'-; °' °J . �= a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 .,y •�y - T �° " 000 NEXT HOLIDAY MONDAY, SEPTEMBER 4TH, LABOR%DAY`y" TENDERED "CHANGE' F'C ECK=NO: SIGNATURE TRINITY TRANSPORTATION CORPORATION 214 Blydenburgh Road NO. 6781 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: _s SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �m,'. �; s' -, 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. _. 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.