HomeMy WebLinkAbout07/2018 "`DUPLICATE TICKET*" SITE `._ TICKET'='= GRID 2" WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376007 Steph
PO Box 962/6155 Cox Lane
DATE 1N DATE'OUT' �TIME IN' f!OE OUT,'', VEHICLE' ROLL_QFF
Cutchogue, NY 11935 -
07/b2/18 07/02/18 07:23 107:23 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 51900 LB
QTY'_' - DESCRIPTION _ RATE EXTENSION FEE TOTAL
2595 TON DUTGO.MSW 0.000 0.00 0.00 0.00
yam.}
A3 f >f d -.. ttul
,
Operating hours 7:00 AM to 5:00 PM 7 days a week's .; m _ 4�� r;- P. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 _ R; .. ? 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 � y�' `a;_ ,�;, 't' `� TENDERED
A,,x4�� C ANGE
CHECK N
SIGNATURE
" A.," ;,;rq;,. GRIQ,. _ ', +,..,,; '? WEIGHNIASTER`,a
""DUPLICATE TICKET"" SITE T(CKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376007 Steph
PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
Cutchogue, NY 11935
07/02/18 07/02/18 07:23 07:23 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
We*aht 51 9Q.0 LB
QTY UNIT DESCRIPTION - --RATE -=-EXTENSION FEE TOTAL
25.95 TON DUTGO.MSW 0.000 0.00 0.00 0.00
l
Operating hours 7:00 AM to 5:00 PM 7 days a week'%,, "' `., ` :i •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76851Tj;%+°,r 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 281.�,- °V"" TENDERED
• - CHA GE
CHECK-NO-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 2465
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY:GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF-ANY CARGO OR MATERIALS-
BEING SHIPPED AND DOES NO ASfSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }
COMPANY: eI'T �.�( a' ,1 SHIP DATE: 7 2 t j
COMMODITY SHIPPED: #1..i
LOOSE: I ( U (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: , 0 �' GROSS
-f Cl TARE
e/ UU NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS'DEFINED,BY 40 CFR PART 260.10'OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY X40 CFR PART 261 OR ANY APPLICABLE STATE LAW:HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT-NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.'", � r 1 _N I f ' l Aj f
TRUCK NO C LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE-ABOVE NAMED-MATER[At-WAS=PICKEU,UP,AT-THE GENERATOR*SITE-LISTED ABOVE,AND THATAT WAS--'--
DELIVERED WITHOUT INCIDENT TO THE DESTINATION.LISTED'.BELOW.
DRIVER: f 1
(PRINT RAAMEY ' ' f r (SIGNATURE)
DESTINATION- < J
DISPOSAL-.LOCATION: 6 V A !'� � 1 � DATE-DELIVERED: 4
ADDRESS:
I HEREBY-CERTIFY THAT THE ABOVE MATERIAL"HAS'BEEN ACCEPTED-AND TO THE BEST OF MY-KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE, A Tic €rX_ n _ .,
GRID r �{NEIGHMA$TER'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376100 Steph
PO Box 962/6155 Cox Lane - - -
Cutchogue, NY 11935 6ATE-IN ^oaT ottr TiM> iN- llvtE PUT -
07/02/18 07/02/18 11:24 11:24 11114TC
009316 Town of Babylon REFERENCE, 1W ORIGIN
Scale 2 Gross Wt. 81880 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 41480 LB
=QTY UNtT DESCRIFTtON_- . :.` .RATE_' EXTENSIOt�i T07AL'
20.74 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., 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHANGE-
- CHECK O._
SIGNATURE
SITE I TICKET I GRID WEIGHMASTER" ' <
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376100 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N RATE OUT, :TIME,IN, TitNE OUT VEHICLE 'ROLL OFF
07/02/18 07/02/18 11:24 11:24 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 81880 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 41480 LB
"QTY.- UNIT :` DESCRIPTION RATE EXTENSION FEE", _ TOTAL
20.74 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. . 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED-;• _`t
CHECK NG.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2466
Islandia, NY 11749 No.
(631) 342-9673 4
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
'
COMPANY: I SHIP DATE: )6
/ 1
COMMODITY SHIPPED: it J 1 i
LOOSE: r; -' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �> I 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 CCA ORDINNG TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
e.
TRANSPORTER
TRANSPORTATION/FREIGHT CO:
TRUCKNO. -= 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
r'
� ^ f
DRIVER: C r
(PRINT NAME) rte'" (SIGNATURE)
DESTIN TION•= -
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVEMATERIAL 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 01376392 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 DATEdN DATE OUT TIME IN TIME OUT ; VEHICLE,_"- ' -,-`,ROLL OFF
07/03/18 07/03/18 12:52 12.52 11114T
009316 Town of Babylon
Scale 2 Gross Wt. 87360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 46960 LB
.._1 ._
QTY' UNIT DESCRIPTION! = RATE `EXTENSION-`°` _FEE "`---- -_'TOTAL:
23.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00
V9 t
Operating hours odays a week. _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,;;"d ` '>. ' �= "' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 �r `-.1C_ TENDERED
w
CHANGE r
CHECK NO.
SIGNATURE
"DUPLICATE TICKET" SITE _ l_TICKET - GRID WEIGHMQSTER =
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376392 Steph
PO Box 962/6155 Cox Lane
VEHICLE, --ROLLOFF
Cutchogue, NY 11935
"DATE,IN, ,r DFlTE.OUTw;; TIME,IN TIME OUT. , VE
07/03/18 07/03/18 12:52 12:52 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87360 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 46960 LB
r
QTY' UNIT'- ,: '-:DESCRIPTION','- RATE' 'EXTENSION- 'FEE' TOTAL
23.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours odays a_wee . __, -f f' •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'_ 3;
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road a 2468
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. ,Ii
COMPANY: 1 i L' L.- ;) SHIP DATE:
COMMODITY SHIPPED: /`I �• i 1 � '
LOOSE: f (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: LL - GROSS
TARE
`P E_ NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR,TRANSPORTATI'ON ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) t (SIGNATURE)
TRANSPORTER
r r
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) (SIGNATURE)
1 DESTINATIOIJ `{
DISPOSAL-LOCATION: t �/ l4 /. r�I ��t` t �h� DATE DELIVERED:
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
SITE TICKET___ GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376241 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE IN,` DATE OUT -TIME IN TIME OUT ; VEHICLE ROLL OFF
7/03/18 07/03/18 07:13 07:13 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 50740 LB
A_--,
OTY UNIT, ;.,DESCRIPTION.:,, ,RATE EXTENSION', ;"FEE NOTAL
25.37 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:� `�" _ .' ; = '.' •
CLOSED HOLIDAYS
-QUESTIONS CALL 631-734-7685 -,r`�� • ._�_—" - _ ° .A 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 "Y`k1 ;' `r s� - TENDERED'
+_Xr f_' CHANGE•
CHECK NO. =
SIGNATURE
SITE °"" _''TICKET , 'GRID WEIGHMASTER;_'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376241 Steph
PO Box 962/6155 Cox Lane D&EINti" " _DATEOUT_i'' TIME IN TIMEdUT VEHICLE'",-"'"' '" 'ROLL"'OFF
Cutchogue, NY 11935
07/03/18 07/03/18 07:13 07:13 11114TC
009316 Town of Babylon ORIGINREFERENCE
Scale 2 Gross Wt. 84720 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 50740 LE
_QTY UNIT DESCRIPTION_ - RATE ';_ EXTENSION FEE TOTAL-
25.37 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week..,, "% 4- Lei I 114 1
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x''"'°',., y~ 0 0
NEXT HOLIDAY: Memorial Day, Monday, May 28 p,` ',:'' " ..- ,"f.3 TENDERED
CHECK°NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION'
214 Blydenburgh,Road , 2467
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: A 1 1-I f) # SHIP DATE: -71 Z i 18
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE -
1 }�i NET
I HEREBY.CERTIFY-THAT THE ABOVE NAMED-MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY AO 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�PORTATIOihCCORDING TO APPLICABLE REGULATION
f
R
GENERATOR AUTHORIZED AGENT(PRINT NAME) _ - (SIGNATURE)
TRANSPORTER
a
TRANSPORTATION/FREIGHT--CO. t") ),
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. 1 3 LICENSE NO/STATEN
I.HEREBY,CERTIFYTHAT THE-ABOVE NAMED MATERIAL WAS-PICKED'UP AT-THE-GENERATOR SITE'L'ISTED'ABO VE,AND-THAT'IT WAS' `
DELIVERED WITHOUT'INCIDENT TO THE DESTINATION,LISTED BELOW."
DRIVER: c-6, f _
(PRINT NAME) (
SIGNATURE)
DESTINATION'• �! .
DISPOSAL LOCATION: ro DR ) DATE DELIVERED:.
fd ,
ADDRESS: _
/
1 HEREBY CERTIFY.THAT THE ABOVE MATERIAL-HAS BEEN ACCEPTED'AND TO THE BESTOF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED-BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY:' WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR. DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET** SITE ;.TfCKET µ -, _ `GRID' _ WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376667 Liz H
fl- BOX 962/6155 Cox Lane ,
Cutchogue, NY 11935 DATE IN DATE OUT r TfME"1N T. 1 9UT „^`''`.zVEHICLE't1`-fi. ~;- ROLL OFF
07/05/18 07/05/18 12:25 12:25 111 14T
009316 Town of Babylon
REFERENCE IN "7
Scale 2 Gross Wt. 84260 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 47980 LB
"'QTY.,� . ,,UNIT.` „ , „"'-:- DESGRIPTION `_ ,RATE, _ EXTENSION; - FEE `' TOTAL-,
23.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00
IN ¢
Operating nours odays a wee h.^ 1 _ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685._, }', _� "'~' 000
NEXT HOLIDAY Memorial Day, Monday, May 28 u
t �;r� �;,`�� -TENDERED
CHANGE
.`,,CHECK NO.,
SIGNATURE
*'DUPLICATE TICKET" SITE , TICKET GRID,;., WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376667 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 "DATE IN` -DATE-OUT ITINIE IN,TIME 0Ul VEHICLE _- ROLLOFF
07/05/18 107/05/18 12:25 12:25 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 84260 LB Outbound-Charge ticket
Manual Tare Wt. 36280 LB
Net Weight 47980 LB
QTY UNIT DESCRIPTION RATE _ _EXTENSION" 'FEE = TOTAL`
23.99 TON OUTGO.MSW 0.000 0.00 000 0.00
n f
Operating ours :00 M to 5:00 PM 7 days a week.;',, ,4 ___ •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.:r�.`�',' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 K` ° "` s TENDERED
CAN E.
CHECK NO.
SIGNATURE
.TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road 2469
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. 1
1 \ f�
COMPANY: L { o # SHIP DATE: t
COMMODITY SHIPPED: mvi f
LOOSE: ') (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: T, t l/ .a`% GROSS
TARE
� A
-�,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,ISNOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART-261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURES
R`ANSPORTER ,r
TRANSPORTATION/FREIGHT CO. l ) A 1 1 L`(4 i� �` � ,. j I{
TRUCK NO. ti) LICENSE NO/STATE:
TRAILER NO. - 1 2.- � LICENSE NO/STATE:,
I HEREBY CERTIFY THAT THE'ABOVE NAMED-MATERIAL-WAS PICKED'UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT'IT WAS'
DELIVERED WITHOUT INCIDENT TO THE DESTINATION'LISTED BELOW.
DRIVER: ---.�.�_� ' �,... i' y,.--✓'.�'
(PRINT NAME) (SIGNATURE)-
DESTINATION
DISPOSAL LOCATION: {� �I }�I,' F ,f rJ l�j DATE DELIVERED: r
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIA12HAS-BEEN ACCEPTED AND TO THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED'
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY. WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
""D, "' S
PLICATE TICKETITE 'TICKET GRID WEIGHMASTER
~ SOUTHOLD TOWN DEPT SOLID WASTE 01 01376553 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 DATE,ING '.DATE,OUT TIMEiN' TIME OUT VEHICLE_`-- ROLL OFF
07/05/18 07/05/18 08:48 08:48 111 14T
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 92860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 58880 LB
QTY.- UNIT DESCRIPTION -_° RATE EXTENSION = -FEE _ TOTAL
29.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
S�
Opera Ing ours o 5:-Ob PM 7 days a week:, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:;--,y, 0.00
NEXT HOLIDAY: Memorial Da Y, Monday, Y Ma 28 f !° TENDERED
1,3
CHANGE--,
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE . TICKET `- GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376553 Liz H
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 ; DATE IN'�` DATE OUT ;TIME I'N,,TIME;''OUT VEHICLE ROLL OFF
07/05/18 07/05/18 08:48 08:48 11114TC
009316 Town of Babylon REFERE NCE ORIGIN
Scale 2 Gross Wt. 92860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 58880 LB _
QTY UNIT DESCRIPTION = FATE EXTENSION FEE TOTAL`'_
29.44 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a week:* ::° ", •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,-'. - _ _ ' . " 000
NEXT HOLIDAY: Memorial Day, Monday, May 28 .- TENDERED'
CHANGE s
-CHECK NOs"s
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2487
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�SUME ANY LIABILITY ASSOCIATED•WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: `�`� � LA _"- }_ g (� l� {�; SHIP DATE: � � � � 0
COMMODITY SHIPPED: lkv
LOOSE: ) ;� , (CU YDS)
f
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 TO APPLICABLE REGULATION f
GENERATOR AUTHORIZED AGENT(PRINT NAME)
- (SIGNATURE)
n TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. _ LICENSE NO/STATE:
TRAILER NO. rJl 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 LISTE6 BELOW. '
DRIVER: } ;)in
~(PRINT NAME) (SIGNATURE)
^DESTINATION'
DISPOSAL LOCATION: V/V"J l A (111") A PP, ������ DATE DELIVERED: } �
ADDRESS: I , Y 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:
/d
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 01376906 Liz H
PO Box 962/6155 Cox Lane
FDATEIN=_- DATE-OUT TIME fflTIMEOUTj_ VEHICLE ROLLOFF_
Cutchogue, NY 11935
07/06/18 07/06/18 11:47 11:47 111 14T
009316 Town of Babylon •
Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Wei ht 43840 LB
QTY,
"UNIT' """`a.` vDESCRlPT10N - "' "RATE ` ' EXTENSION_, _,FEE' ' _TOTAL ,
21.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00
oy
- � x
Operating hours 7:00 AM to 5:00 PM 7 days a week!-�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'-,r,= S 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ' ;; ;.., :c i' 'TENDERED`-
HANGE
CHECK O: "
SIGNATURE
`DUPLICATE TICKET** "SITE TICKET - GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376906 Liz H
PO Box 962/6155 Cox Lane bXTEIN=__ DATE_OUT" =TIME IN-TIME OUT VEHICLE _v' ROLL OFF
Cutchogue, NY 11935
07/06/18 07/06/18 11:47 11:47 11114TC
009316 Town of BabylonREFERENCE •.
Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Weiaht 43840 IR
,,:QTY, •,; UMT"."° DESCRIPTION,; „"', RATE' EXTENSION FEEu TOTAL
21.92 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7.00 AM to 5:00 PM 7 days a week:'- A. ? _ --, " , - , •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.=- '
NEXT HOLIDAY: Memorial Day, Monday, May 28 "' TENDERED °I
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2470
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 NOTrASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE: -7 t
COMMODITY SHIPPED:
LOOSE: ``� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 7 �1 4' '' 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
C
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
pr I
TRANSPORTATION/FREIGHT CO. t '�`
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. Z LICENSE NO/STATE:
-1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED-UP AT THE GENERATOR SITE LISTED•ABOVE;AND THAT I'T'WAS'
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER:
' (PRINT NAME) " (SIGNATURE)
/DESTINATION
DISPOSAL LOCATION: 1' ! t f _r`i` t 6 l '``� DATE DELIVERED: + j
ADDRESS: - l `
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND-TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
**D: 'LICATE TICKET" SITE TICKET GRID_F WEIGHMASTER_
1 SOUTHOLD TOWN DEPT SOLID WASTE 01 01376799 Liz H
PO Box 962/6155 Cox Lane
`DATE IN DATE--OUT _TIME IN TIME OUT VEHICLE,` ROLL OFF
Cutchogue, NY 11935
07/06/18 07/06/18 07:14 07:14 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80800 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 40400 LB
QTY = .UNIT_,°"" F A" ". DESCRIPTION RATE: EXTENSION' FEE. _ TQTAL
20.20 TON OUTGO.MSW 0.000 0.00 0.00 0.00
tN
- :
Opera mg ourso 5:00 7 dys a w
taeek:' _' a !' ;_,*='_ J •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686.," , f y 3 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28 TENDERED-
-'
CHECK NO:
SIGNATURE
**DUPLICATE TICKET** strE 71cKEr' °GRi�..`'° w WbGHMASTEW."'
SOUTHOLD TOWN DEPT SOLID WASTE 01 01376799 Liz H
PO Box 962/6155 Cox Lane
-DATE IN =: DATE OUT°=,- TIME IN=TIME OUT VEHICLE =, ROLLOFF
Cutchogue, NY 11935
07/06/18 07/06/18 07:14 07:14 111 14T
009316 Town of Babylon ORIGINRLFERENCE
Scale 2 Gross Wt. 80800 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 40400 LB
QTY' UNIT,"r„ DESCRIPTION' ;;„ RATE EXTENSION, 'FEE^�j -TOTAL
2020 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ming hours to 5:00 PM 7 days a week'a; _- •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. On
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED-,
"CHANGE ,
CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 2471
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT,A�SPUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF-SUCH MATERIALS.
COMPANY: ) tea j r.I } ) - SHIP DATE: `
COMMODITY SHIPPED:
LOOSE: I �. (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: - GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL-DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) "(SIGNATURES
-'f TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. =. LICENSE NO/STATE:
'I-HEREBY CERTIFY THAT THE,ABOVE NAMED MATERIAU,WAS PICKED-UP. AT THE-GENERATOR-SITE LISTED ABOVE,-AND THAT IT WAS = -
DELIVERED WITHOUT'INCIDENT TO THE DESTINATION LISTED"BELOW.". - 1
l�
DRIVER: 1 r`
(PRINT NAME) (SIGNATURE)
/ DESTINATION
DISPOSAL'LOCATION: L�1-A N T - , J 3/ .� i��. V CC" 3� DATE'DELIVERED'"
ADDRESS:' 0 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: t i'
1 �
"*DUPLICATE TICKET"" SITE Y '-nckEr „" GRID- wEiGHnnasrER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01377009 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN t = DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/07/18 07/07/18 07:14 07:14 111 14T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 92460 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52060 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTd' '
26.03 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Q
'j •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,; .'4 '� . -' F
, 0.00
L ¢"c � _ 1
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED`�;� `��;>`
ro ,
CHANGE
CHECK NO.
SIGNATURE
"DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01377009 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE w DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF ww
07/07/18 07/07/18 07:14 07:14 111 14T
009316 Town of Babylon
REFERENCE 'ORIGIN
Scale 2 Gross Wt. 92460 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52060 LB
` ` _QTY. ° '`''UNIT- = ---- _DES_CRIPTION RATE EXTENSION FEE TOTAL
26.03 TON UTGO.MSW 0.000 0.00 0.00 0.00
mit`,.t� t,it 1(�i�` '�-.~'`•,
E
Op s a wee 1�, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.>>�,-; - '+ 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -°�Y v ;`" #' TENDERED"
t {'}
4 4 4 CHANGE
CHECK O.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2473
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: t_ .i C ' L ;, I SHIP DATE:
COMMODITY SHIPPED:
1 f
LOOSE: i (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: a' ( ; (, L GROSS
TARE
is 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_AP-P-LIGABLE•-REGULATION
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) (SIGNATURE)
ff.
DISPOSAL LOCATION: . i f�,�) J i% ! - l t- '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
SITE I'g TICKET.,: GRID, WEIGHMASTER _
SOUTHOLD TOWN DEPT SOLID WASTE 01 01377108 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN `DATE OUT _TIME IN TIME OUT VEHICLE ROLL OFF
07/07/18 07/07/18 10:43 10:43 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 90220 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 56240 LB
QTY UNIT DESCRIPTION RATE EXTENSION FEE TOTAL
28.12 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ingours odays a wee u � ✓f •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85. 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 �� UNF
' TENDERED
CHANGE
CHECK NO.
SIGNATURE
SITE TICKET I GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01377108 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN ,DATE OUT TIME IN TIME OUT VEHICLE ROLLOFF
07/07/18 07/07/18 10:43 10:43 11114TC
009316 Town of Babylon
REFERENCE
: Scale 2 Gross Wt. 90220 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 56240 LB
QTY '- UNIT = -.-- --___ ____ DESCRIPTION RATE EXTENSION FEE TOTAL
28.12 TON UTGO.MSW 0.000 0.00 0.00 0.00
o�4 ®T.
r
Operating ours o days a wee 4�._ > � w 0
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. b,
0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
_ CHANGE„ _ -
' - CHECK NO.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2472
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: �' LAI iJ L r SHIP DATE:
COMMODITY SHIPPED: P"
LOOSE: ! t 1 (CU YDS)
i
BALES: (COUNT):
l
TRUCK WEIGHT: r `= GROSS
TARE
J. 1 E NET
HEREBY CERTIFY THAT,THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) ,t�- (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. ff LICENSE NO/STATE:
TRAILER NO. 1 -- 1 LICENSE NO/STATE:
HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
DRIVER: .
(PRINT NAME) 1-01% (SIGNATURE)
DESTINATION:\._
r�
DISPOSAL LOCATION: ?!,� , 1 r �I!_Jf" 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
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2474
Islandia, NY 11749 NO
y
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT"ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t �} t�1 i j (; L_ ;' SHIP DATE:
COMMODITY SHIPPED: t 1 -'-5 n; 4
LOOSE: (CU YDS)
BALES: (COUNT): --
TRUCK WEIGHT: GROSS
TARE
NET
HEREBY CERTIFY THAT THE-ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY-APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
r r
GENERATOR AUTHORIZED AGENT(PRINT NAME) :4 (SIGNATURE)
TRANSPORTER a
TRANSPORTATION/FREIGHT.'CO.
TRUCK NO. 1-` % v ° LICENSEE NO/STATE:
TRAILER NO. cl LICENSE NO/STATE:'
1 HEREBY-CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIS "ABOVE, AND-THAT IT WAS,
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW l�
DRIVER:
(PRINT NAME)" %! (SIGNATURE)
f
�
DESTINATION '\
DISPOSAL LOCATION: C'o °`i I"�� r
IYA / ( U M i DATE DELIVERED:
ADDRESS: j I J
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE'BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED,
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2475
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: `_j A�- �, � � �i SHIP DATE:
COMMODITY SHIPPED: • �`'l J \-j
LOOSE: I U ? (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: � YA. GROSS
7TARE
7 c °`i 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
f t
TRANSPORTATION/FREIGHT CO. = 1 f sf1
t
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..
1
DRIVER:. r'
(PRINT NAME) ,fir' (SIGNATURE)
' DESTINATION '_ •'`
DISPOSAL'LOCATION: \: _. - A� � A 1 1 9 f_s v �
. DATE DELIVERED:--
ADDRESS:• V
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 =GRIDF WEIGFMASTER;, -_
SOUTHOLD TOWN DEPT SOLID WASTE 31 01377864 Steph
PO Box 962/6155 Cox Lane
CUtChO9Ue, NY 11935 _DATE`1N ' >DATEOUT` `TIME 1W TIME-OUT VEHICLE ROLL_OFF�z_
7/10/18 07/10/18 7:21 7:21 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 53300 LB
11 QTY UNfT, DESCRIPTION; RATE, ,`EXTENSION -=-_- FEE E. ---,,TOTAL
L
26.65 TON UTGO.MSW 0.000 0.00 0.00 0.00
r,
s 3 y r t A
Op Ay •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,/,4," —~ r' s T� 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28 °` TENDERED =_
Ix
-,CHANGE
1
-CHECK O:j
SIGNATURE
**DUPLICATE TICKET** SITE TICKET". GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01377864 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 PATE-IN, :DATEOUTr TIME IN=TIME-OUT __ VEHICLE.4 ^_ .ROLG OFF
7/10/18 7/10/18 7:21 7:21 11 114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 87280 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 53300 LB
QTY.'%";,_r' ",.".;_'"`U_NIT,'r^,, DESCRIPTION- RATE_ "EXTENSION z FEE_;'" TOTAL ,'
26.65 TON OUTGO.MSW 0.000 0.00 0.00 0.00
,�; ("`• a � fie°.._ a
1permth-g-Mo-urso SM MVI 7 days a weeR.7 �� r c F •
..
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`. �. rY 0.00
NEXT HOLIDAY- Memorial Day, Monday, May 28 .;�' : Rosy TENDERED<>_
CHANGE ;
- ^ ' CHECK NO:'j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road No. 2476
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.
\. I t
COMPANY: i �}Ci LA 7 ,. SHIP DATE: 7 ) ) U/
d �
COMMODITY SHIPPED: M s w
LOOSE: Ca (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �'< } GROSS
~;ci rC7 TARE
o 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
I
GENERATOR AUTHORIZED AGENT(PRINT NAME) — (SIGNATURE)
TRANSPORTER
i
TRANSPORTATION/FREIGHT CO. t
TRUCK NO. Z—_ LICENSE ANO/STATE:
TRAILER NO. <� LICENSE NO/STATE:
' r -
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 mss®
r
DRIVER: 0
(PRINT NAME) // (SIGNATURE)
_ DESTINATION,
DISPOSAL LOCATION:- Vr"1 1 , L ^- DATE DELIVERED: ,
ADDRESS.
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE.THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
;SITE TICKET; ,, :GRID .4 ;WEIGtiMASTERe Y'"'
;.,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01377954 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE iN,ti. "DATEOUT ' "TIME IN T1ME;OUT '; VEHICLE s = ROLL OFFS'
07/10/i 07/10/18
009316 Town of Babylon l8 12:01 112:01 111 14T
REFERENCE
•-
Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 53000 LB
QTY;, „DESCRIPTION, _ RATE EXTENSION = FEE-, ;TOTAL+,
26.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
S- `.�
�{ 1 '' '7
Operating hours 7:00 AM to 5:00 PM 7 days a week?,' r`= , `� r 1. - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. v .”
8 _ " 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `ea' TENDEREC7:'"'_:
CHANGE;
-
CHECK O:-
SIGNATURE
SITE _ TICKET. GRID„ _ WEIGHMASTER- `
SOUTHOLD TOWN DEPT SOLID WASTE D1 01377954 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE 1N DATE OUT + _'TIME'IN 71ME,OU7 VEHICLE ?' _'°ROLL OFF
7/10/18 07/10/18 2:01 2:01 11114TC
009316 Town of Babylon
REFERENC
•-
Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei ht 53000 LB
DESCRIPTION RATE, EXTENSION - FEE , T,O,TAL,
26.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Operating hours 7:00 AM to 5:00 PM 7 days a weeks ; `: w,`a,' ; . s •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �w `4 _ � �, `b 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 � a -TENDERED
CHANGE
SIGNATURE
SITE TICKET GRID WE_IGHMAS_TER== "'
SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01377954 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,,y -DATE IN. DATE OUT ,TIME'IN TIME OUT VEHICLE ROLL OFF==°
07/10/18 07/10/18 12:01 12:01 11114TC
009316 Town of Babylon
REFERENCE 0R1GIN
Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 53000 LB
QTY_"-, UNIT DESCRiP710N - RATE
EXTENSION FEE dTOTAL
26.50 TON UTGO.MSW 0.000 0.00 0.00 0.00
Ily
3 `
OP ;tea :. •, r
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: - s . 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28
;TENDERED==„-=
CHANGE--
CHECK
HANGE-C ECK NO. =
SIGNATURE
-SITE° TICKET:= GRID = WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 31 01377954 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE iN. ",DATE OUT:ry -TIME.IN TIME OUT +'*;.+VEHICLE ' ' ,ROLLJOFF_„
7/10/18 107/10/18 2:01 2:01 111 14T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 53000 LB 7
•
_ _-e- QTY,-= UNIT _--- -.-_, _DESCRIP_TION_,_ DATEEXTENSION_ FEE -
TRINITY TRANSPORTATION CORPORATION `.
214 Blydenburgh Road 2477
Islandia, NY 11749 Y ' No.
(631) 342-9673
'THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NO rASSUME ANY LIABILITYY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY:_ ) _ (.i (._ 11 SHIP DATE: -7 L
COMMODITY SHIPPED: I
LOOSE: / 00 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: j �j C, GROSS
LIU ` ' f : TARE
`1 C 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 BY40 CFR PART 261 OR ANY APPLICABLE STATE LAW;HAS BEEN PROPERLY
DESCRIBED,-CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION.A.CCORDING TO APPLICABLE REGULATION
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) [ �(SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. / i J t`-) fy /
TRUCK NO. 2_1 0 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.2TO-THE DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) - r',,•'' (SIGNATURE) ` .
DESTINATION'--
DISPOSAL- LOCATION: `.: (,� 01��� �,, �) DATE DELIVERED:-
ADDRESS:
ELIVERED:ADDRESS: - J
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND•TO THE BEST OF MY'KNOWLEDGE THE-INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED_ BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
*"DUPLICATE TICKET"* SITE TICKET, - GRID WEIGHMASTER _�M';per`,`_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378062 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 - DATE IN.- -;DATE OUT, TIME IN,.TIME OUT �, VEHICLE __ ROLL OFF
07/11/18 07/11/18 7:14 7:14 11114T
009316 Town of Babylon
REFERENCE
.-
Scale 2 Gross Wt. 84980 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 51000 LB
-QTY: U ' '' z DE_S_CRRTE' TTENSION, FEE_'_TIONX
2550 TON DUTGO.MSW 0.000 0.00 0.00 0.00
✓ fC
Op r a. R •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 _w "� 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 `. '�° ,:. .. '� ;TENDERED
_ �6•" < CHANGE
-CHECK NO.
SIGNATURE
**DUPLICATE TICKET** SITE TICKET GRID`-'._,'" WEIGHMA$TER-
SOUTHOLD TOWN DEPT SOLID WASTE 1 01378062 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 _ u DATE'IN- DATE�OUT, TIME iN TIME OUT __ VEHICLE'' ROLLOFF''
7/11/18 7/11/18 7:14 7:14 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 84980 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 51000 LB
<__ _
QTY',=�T _UNIT-,`-.- = : ;=_=-DESCRIPSION- „4-=--_,__,_...,_._, :, .RATE._<1.,, , -EXTENSION ` �= FEE_ a_ 70TAL
25.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera mg hours odays a wee
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Da Y, MondaY, May 28 � ;x;„n R v TENDERED -_
Y n '
w,t..'' ; 'CHANGE
CHECK NO'
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2478
-
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. J
COMPANY: tLJ(A r ) I ( ; SHIP DATE: i }
COMMODITY SHIPPED: k 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 TO APPLICABLE REGULATION.-
r'
4
GENERATOR AUTHORIZED AGENT(PRINT NAME) C/" (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT'CO. -Fri /\j I kf
TRUCK NO. 2-5 LICENSE NO/STATE:
TRAILER NO. , LICENSE NO/STATE-:' "
I HEREBY CERTIFY THAT THE',-ABOVE NAMED-MATERIAL WAS PICKED UP AT--THE GENERATOR SITE LISTED BOVE: AND--THAT IT WAS;
DELIVERED WITHOUTINCIDENT TOTHE DESTINATION.LISTED°BELOW.
DRIVER: - ,�•`'J"`+f�
(PRINT NAME) (SIGNATURE) -
DESTINATION
DISPOSAL--LOCATION: COV AJ l A 1 / 13\1 DATE DELIVERED:
ADDRESS:
s '
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION - Y
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
.6SITE T
SOUTHOLD TOWN DEPT SOLID WASTE 0,1 01378151 Steph
PO Box 962/6155 Cox Lane o__ [ - x I -1 - __ I __ - - ___ -- I - —-
-1,ATEIN, , ,DATE-OUT TIME IWjT1JjM�OL1,T
Cutchogue, NY 11935 - - " - - � - - - - , [,,j- EHICL �ROLL OFF
07/11/18 07/11/18 11:36 111:36 1 111 14TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 86700 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 52720 LB
�EXTENSION,,
TOTAL
_Qw. ,,DESCRIKIOW� -WE
26.36 TON )UTGO.MSW 0.000 0.00 0.00 0.00
I V
Operating hours 7-.00 AM to 5:00 PM_7 days a week.�,,,'
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 1',9 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED�--,
n�
'-CHANGE-
1 CHECK,NO
SIGNATURE
or 6k,�rr'"�,��',-A"�,'�-,",--'; GRID' i --wo(G-4mASTER',
SOUTHOLD TOWN DEPT SOLID WASTE 31 01378151 Steph
PO Box 96216155 Cox Lane !�DATE-OUT�,,1141IME'IN: TIME� T !"," ,,,,,VEHICLE,,,,, ROLL-OFF
Cutchogue, NY 11935 �PLI- -
009316 Town of Babylon 07/11/18 07/11/18 1:36 1:36 111 14TC
REFERENCE
Scale 2 Gross Wt. 86700 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 52720 LB
_,QTy,, `TENSION-_
�,,�Qjy`�, _T�,',, 'UNIT, TE, ',�`F_\ OTAL
ESCRIPTION' PA
26.36 TON DUTGO.MSW 0.000 0.00 0.00 0.00
S-
Operating hours 7:00 AM to 5:00 PM 7 days a week..�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.tL_'4,�_, 0.00
W-5 JENDERED�---,�,
NEXT HOLIDAY: Memorial Day, Monday, May 28
7-
�HANGE-1� ,,
GHECK,NO�-%,
SIGNATURE I'--
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Roadr ,
No. 2479
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NO�ASSUME,ANY LIABILITYY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: R ;(i( � ) L./() L l_) SHIP DATE: l 1 G
COMMODITY SHIPPED: v Py! f, VJ
LOOSE: I i J (Cu YDS)
BALES: (COUNT):
TRUCK WEIGHT: ; t ' 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) �✓'f f (SIGNATURE)
TRANSPORTER /
r 0
TRANSPORTATION/FREIGHT CO.
TRUCK NO. LICENSE NO/STATE: ' _
TRAILER NO.' Z i LICENSE NO/STATE: _ _ -
I HEREBY CERTIFY-THAT THE-ABOVE-NAMED MATERIAL-WAS PICKED UP AT THE GENERATOR SITE L"ISTED'ABOVE,AND-THAT-IT,WAS
DELIVERED WITHOUT.INCIDENT TO-THE"DESTINATION LISTED BELOW. ,
DRIVER:
(PRINT NAME) (SIGNATURE)=
j ) DESTINATIO
DISPOSAL LOCATION: ( // t Af 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.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2481
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 N6T tASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. fl
COMPANY: c_ { i A l I �> SHIP DATE:
COMMODITY SHIPPED: i1 �n1 1 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 ,
i \
TRANSPORTATION/FREIGHT CO. l { N) L'
TRUCK NO.' LICENSE NO/STATE:
TRAILER NO. 1 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) / .-� �(SI`GNATURE)
DESTINATION -
DISPOSAL
ESTINATION '-DISPOSAL LOCATION: l i ?/ f� I f t�, p � , 1 �. 'tDATE DELIVERED: f
tJ P J 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.
`%-DGVLICATE TICKET" (SITE , TIC' WEIGHMASTE
R
TICKET-,, -- t
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378293 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEIN -DATE-OUT' -WEIN,jffMEbUT VEHIbLE-=, ROLLOFF'
07/12/18 07/12/18 D7:59 7:59 11114TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 86760 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 50760 LB
QTY. rr
QT-
_ :UNIT DESCRIPTION 4RATE EXTENSION FEE -TOTAL
'y
25.38 TON DUTGO.MSW 0.000 0.00 0.00 0.00
f" 77
Op"_j atii q ioui s 7.66AM to 6.66 r-JVJ T U10YO CA WUWF%'�.�
�p
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 .00
.4
JENDERED_
NEXT HOLIDAY Memorial Day, Monday, May 28
CHANGE`
CHIE
zCK-NO.
SIGNATURE
"DUPLICATE TICKET' _,,,',;,WEIGHMA§TER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01378293 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATEINx _'DATE OUT TIME IN TIME OUT VEHICLE--.
37/12/18 07/12/18 P7:59 7:59 1 1 11 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86760 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 50760 LB
EXTENSION FEE,
-UNIT "RATE
25.38 TON 0UTGO.MSW 0.000 0.00 0.00 0.00
S
L?
7 'J
Operating hours 1:00 AIVI to SmOd PM 7 days a WeUK.7,7, .-'i7�
> ff_'j [*I
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ggyTENDERED'
�CHECKNQ:l
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2480
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 NOKASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: SHIP DATE:
COMMODITY SHIPPED: .. .1 w
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: cj( - `� GROSS
TARE
�! �c NET
I HEREBY CERTIFY THAT THE ABOVE NAMED_MATERIAL DOES NOT'CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. '- � t i /�.1 _, L� A)i
TRUCK NO. 23 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:. f t I i j '�Yt �J �1 �_ 1`-" DATE DELIVERED:
ADDRESS: '.
I HEREBY CERTIFY THATTHE•ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE•BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED -
IS TRUE AND ACCURATE: "
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION,
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2483
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.•
COMPANY: i j A) I0 (, ) SHIP DATE: -7 j
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: �a t 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 AUTHORIZE D`AGENT(PRINT NAME) (SIGNATURE)'
,TRANSPORTER ,
TRANSPORTATION/FREIGHT CO.
TRUCK NO. `S LICENSE NO/STATE:, --
TRAILER NO. `I LICENSE NO/STATE: '
1 HEREBY CERTIFY''THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,,AND THAT IT-WAS
DELIVERED WITHOUT INCIDENT'TO.THE,DESTINATION.LISTED BELOW. ,'
DRIVER:
� j. .
(PRINT NAME) (SIGNATURE)'' `
DESTINATION"
DISPOSAL LOCATION: �r1? ,AIS � �t � �`� �� V ��` +�.) DATE DELIVERED: ) �
ADDRESS: ` f
I HEREBY CERTIFY THAT•THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TOTHE 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" WEIGHNIASTEFt A" " _ '`�7
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378497 Liz H
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 _DATE W`� DATE OUT TIME`TIME IW OUT VEHICLE ROLLOFF
07/13/18 07/13/18 07:20 07:20 11114T
009316 Town of Babylon
REFERENC
Scale 2 Gross Wt. 85540 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 49540 LB
4TY" 11NiT DESCRIPTION" RATE EXTENSION —'FEE` �TOTm =`
24.77 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Int
Op-eratrnp-no-urg ays a Wee --- - •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,' r; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28a',i ',� TENDERED'
rt r CHANGE
CHECK O:"
SIGNATURE
"DUPLICATE TICKET" -SITE, - TICKET--_- GRID`"°"'`_. ' WEIGHMASTER. `
SOUTHOLD TOWN DEPT SOLID WASTE Di 01378497 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN=__ DATE OUT , - TIME IN TIME OUT -VEHICLE: ROLL OFF
7/13/18 7/13/18 7:20 7:20 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 85540 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 49540 LB
QTY'" ,2 "'UNIT='. d" DESCRIPf10_N, + 'RATE',„ EXTENSION FEE' TOTA4:i
24.77 TON UTGO.MSW 0.000 0.00 0.00 0.00
'w
Opera Ing nours o ays a wee � � _ _ ,,f •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. " a „r� 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ;TENDERED
8 rt "'CHANGE",
CHECK NO.
SIGNATURE
,TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Load 2482 ,
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. -7
COMPANY: ) � I �_1 L r IJ)3 SHIP DATE: l f 1
COMMODITY SHIPPED: Sr11.t _
LOOSE: 100 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: c' '-/t: GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40-CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT ! 3 I
CO. / � 6�"'Q ,i
TRUCK NO. 2—s LICENSE NO/STATE:
TRAILER NO. 12 v LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE-GENERATOR SITE LISTED ABOVE,'AND THAT IT-WAS-
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: --,To (�
(PRINT NAME) f (SIGNATURE)
DESTINATION
11 / /'A
DISPOSAL-LOCATION:�_�l�/ I A & j7-Vir)t� 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 __ V1IEIGHMASTER`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378813 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN .v _DATE OUTr= TIME 1N;µTIME OUT,,., VEHICLE_,' ROLLOFF=
07/14/18 07/14/18 10:42 10:42 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 98560 s LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 58160 LB
`QTY__ UNIT _ DESCRIPTION RATE EXTENSION =FEE=_ TOTAL
29 08 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Cpeldllrly twulb a s a wee :r p :, 4T• L ` ,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x' -• _ A. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28
TENDERED,---r
CHANGE
--CHECK NO >
SIGNATURE
*'DUPLICATE TICKET'" SITE TICKET = GRID `= WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378813 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 AQTE IN s "DATE;OUT,,f,i TIME 1N TIME,OUT 4M1, 'VEHICLE, l ROLLOFF'
07/14/18 07/14/18 10:42 10:42 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
2 Gross Wt. 98560 LB Outbound-Charge ticket
l Tare Wt. 40400 LB
58160 LB
L::N:etWeight
MT, DESCRIPTION= RATE = EXTENSION , FEE__ TOTAL
29.08 TON DUTGO.MSW 0.000 0.00 0.00 0.00
ra
Y' t `3's ✓ � .
t s-r ''• I -F
Operating hours odays a wee :
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,� 0.00
ENDERED
NEXT HOLIDAY Memorial Day, Monday, May 28 tea : ;\: €`_
a &r., ,•T -`
"lam
HANGE-
CHECK Na-,:
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2485
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 I ( (;? ( _ I ) SHIP DATE: C
COMMODITY SHIPPED:
LOOSE: i) z (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR.TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
r �t
s
GENERATOR AUTHORIZED AGENT(PRINT NAME) t_ (SIGNATURE)
TRANSPORTER
j r-
TRANSPORTATION/FREIGHT CO. t r t` ? � NJ
TRUCK NO. tt�--=' 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) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: _,t ) Vl) !,,J 7 f z 1 ,j DATE DELIVERED:
ADDRESS: r
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' 7�7
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378723 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN DATE OUT --TIME IN-TIME OUT VEHICLE =ROLL OFF
07/14/18 07/14/18• 0713 07:13 11114T
009316 Town of Babylon
-tREFERENCE •-
Scale 2 Gross Wt. 87700 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 53720 LB
QTY` = - 'UNIT_=;' ';DESCRlPT10N ' ` RA?E 'EXTENSION:__; : `" FEE } _ v==°TOTAL
2686 TON DUTGO.MSW 0.000 0.00 0.00 0.00
t I
Opera Ing hours odays a wee � m} .w may; A-
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685�° .. '` i 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 rTENDERED,:
CHANGE
CHECK
SIGNATURE
"DUPLICATE TICKET** stT> TICKET_ GRD ' _. wEI6HMA6TER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01378723 Steph
PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 '_DATE IN. DATE'OUT .�=TIME IN TIME-OUT .VEHICLE_: ROLL OFF
07/14/18 07/14/18 7:13 7:13 11114TC
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt. 87700 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 53720 LB
„QTY 'UNIT DESCRIPTION` RATE' EXTENSION= ,: n FEE '' ,;,r TOTAL
26.86 TON DUTGO MSW 0.000 0.00 0.00 0.00
/"T
� 3
Operating hours 7:00 AM to 5:00 PM 7 days a weekAY •
-- ..e
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.� /,� '-�..__'^_ `; 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 '� ' t. � tiq'a: 3K. -TENDERED;
--CHANGE
° CHEC ,NO.-
SIGNATURE
r
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - NO. 2484
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATORDOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED•WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: I--k o L® t i SHIP DATE: ' ILI
COMMODITY SHIPPED:
LOOSE: -' (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
{
TARE
NET
HEREBY CERTIFY.THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261J0R 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. 2- 3 LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT-IT°WAS:--
DELIVERED WITHOUT INCIDENT-TO THE-DESTINATION LISTED BELOW.'
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION'
J J
DISPOSAL LOCATION: - --) ,f ✓' f f` (e"A 1_1� DATE DELIVERED:
ADDRESS: -
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY.KNOWLEDGE THE-INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO p-
**DUPLICATE TICKET" rsiTel'i-I.-*kEf`
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379326 Steph
PO Box 962/6155 Cox Lane
1N,TWE,0(61', 9EWCLE-: OL _qff�z"
TEDUf TIME'
Cutchogue, NY 11935
009316 Town of Babylon 07/16/18 07/16/18 .08:41 108:41 1 111 14TC
REFERENCE
Scale 2 Gross Wt 72580 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 38600 LB
�OT _"�UNIT DESCRI 10 RATE_ EXTENSION' FEE- TOTAL 4,
y PT W
1930 TON OUTGO MSW 0000 0.00 0.00 000
Op-erating nours Ud AIVI to mub Fivi 7 days a WeeK.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 TENDERED
CHANGE
,"CHECK NO,
SIGNATURE
"DUPLICATE TICKET" TIC�ET wEIGW�ASTIER
'SIT GRID
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379326 Steph
PO Box 962/6155 Cox Lane I ' ' " I -
DA�E!N DAT66uf,� TIMEIN TWEOUT " VEHICLE'- ROLL-OFF
Cutchogue, NY 11935
009316 Town of Babylon 07/16/18 107/16/18 08:41 08.41 1 111 14TC
FfEFERENCE ORIGIN
Scale 2 Gross Wt. 72580 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 38600 LB
"QTY., UNIT -DESCRIPTION-
RATE' EXTENSION FEE TOITAL
1930 TON OUTGO MSW 0.000 000 0.00 0.00
Operating hours I UO AM to b UO FM I days a week.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28 ��--_�FTENDERED
CHANGE,
1 .CHECKNQ�j
-SIGNATURE
TRINITY,TRANSPORTATION CORPORA ION
214 Blydenburgh Road -
No. 2461
Islandia, NY 11749 Joe,,
(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- II
COMPANY: 7 C) U(� i j (� L_ j SHIP DATE: f (n a,
COMMODITY SHIPPED:
LOOSE: {} ( (CU YDS) r
BALES: (COUNT):
TRUCK WEIGHT: GROSS
t
TARE
fti NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE LIQUIDAS 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) j (SIGNATURE)
- TRANSPORTER
TRANSPORTATION/FREIGHT CO. 1 I
1
TRUCKNO. ' 2 LICENSE NO/STATE:
TRAILER NO. Z LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL,,WAS'PICKED UP AT THE GEN ERATOR•'SITE'LISTED ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION-LISTED BELOW.' -
DRIVER:
EL'OW.' -DRIVER:
(PRINT NAME) /(S'I'GNATURE)
L
-_ESTINATION-_
DISPOSAL LOCATIONt
' Iz )j'/IV A DATE DELIVERED: )
ADDRESS:
I HEREBY-CERTIFY THAT THE-ABOVE MATERIAL"HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY- WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2460
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: ��of A 1 itt i) f . )} SHIP DATE:
COMMODITY SHIPPED: Ems) y 1 !
LOOSE: E (CU YDS) ,
BALES: (COUNT):
TRUCK WEIGHT: y� �� GROSS
:5 7k,7 k r TARE
4/0 NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART.260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
! `",-- --�
GENERATOR AUTHORIZED AGENT(PRINT NAME)
(SIGNATURE)
TRANSPORTER
t
TRANSPORTATION/FREIGHT-CO. ) A ) 11`11_
TRUCK NO. .z— D 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. .
�= s
DRIVER:
(PRINT NAME) .-(SIGNATURE)
---_=�
DESTINATION-•=;•-:
j f
DISPOSAL LOCATION: ;�t �t41�T f. I f: � } DATE DELIVERED:
ADDRESS: Y �v
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.
SITETICKET _ = 'GRID WEIGHMASTER - == ;._
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379656 Steph
PO Box 962/6155 Cox Lane
DAT 'DA DATE=OUT" 4IME+tN TIM1E_61Ul -VEHICLE'` _ `°;" 'ROLLOFF'M
Cutchogue, NY 11935 -'
07/17/18 07/17/18 114:33 114:33 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt 92140 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 55520 LB
QTY ,UNfT.: . ;,, DESCRIPTION
} RATE' EXTENSION "" FEE TOTAL
27.76 TON 3UTGO.MSW 0 000 0.00 0.00 0.00
i " g,g
Operating hours 7 00 AM to 5 00 PM 7 days a week «� A ,. �. •
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685s_P Tv i'' V' 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28 �` `;" I,r '> TENDERED
CHECK NO.
SIGNATURE
SITS ;TICK1-; GRIL„
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379656 Steph
PO Box 962/6155 Cox Lane - -
T1MyE. „ VI H!CLE'ta, °=- `OFF, '
Cutchogue, NY 11935 DATE-►N, DATE:OUT IN TIME° r ROLL
07/17/18 07/17/18 14:33 14:33 11114TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 92140 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Wei ht 55520 LB
--- QTY.- UNIT RATE= =R EXTENSION; —, _ ___FEE._-- _; _T,07AL---- —
27.76 TON UTGO.MSW 0.000 0.00 0.00 0.00
X'Y �v
Operating hours 7 00 AM to 5 00 PM 7 days a week. _ '_ ` -_.aj ' e„ 4 •
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685.-, '" _. 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28 i '7 p TENDERED
;..f H Er E,
CHECK-NO: -
SIGNATURE
TRINITY TRANSPORTATION•-CORPORATION
214 B lydenburgh Road 2463
Islandia, NY 11749 NO
(631) 342-9673
THIS MANIFEST IS FOR-REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSIOWOR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: I A i' l-i 0 L._� SHIP DATE: � 1-7 � J
COMMODITY SHIPPED: ' ' ` 5
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
i
TRANSPORTATION/FREIGHT CO.'
- Y I
TRUCK NO.1 z 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 INC IDENT,TO THE'DESTINATION•LISTED BELOW: c • - -. -
�r t
DRIVER:- •" —r
(PRINT NAME) (SIGNATURE)-
DESTINATION-
_ 3
R
A
DISPOSAL LOCATION:- "{ l } W -_DATE DELIVERED: { t/
ADDRESS: u
d
I HEREBY CERTIFY`THAT THE ABOVE MATERIAL HAS BEEN-ACCEPTED AND TOTHE 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-, i DISPOSAL LOCATION TICKET NO. i'
SITE TICKET =' GRID WEIGHMASTER _;-'-' `_
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379577 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,. DATE IN ,ll . .PAFE-,CUT_' .TIME IN TIME,OUT VEHICLE` ROLL OFF- ;.'
07/17/18 07/17/18 10:52 110:52 111 14T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 82380 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 41980 LB
QTY UNIT_ DESCRIPTION.- = RATE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2462
Islandia, NY 11749 N�
(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 NOTIASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t�t % ,( ! I-� C t SHIP DATE: III
COMMODITY SHIPPED: \..) t
LOOSE: f i t (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: C 1 �v ` ' GROSS
TARE
i' 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 S-TATE LAW,HAS BEEN-PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANS PORTATION'ACCORDING TO AP-PL"ICABLE REGULATION
i
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. +'� �r L� ^j
TRUCK NO. - LICENSE NO/STATE:
TRAILER NO. f 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: If "
(PRINT NAME)- :._(SIGNATURE)
DISPOSAL LOCATION: DATE DELIVERED:
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET*" SITE .-OCkET :GRID x4 UVEIGtIMASTER ,=_y,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379504 Steph
PO Box 962/6155 Cox Lane _
Cutchogue, NY 11935 ,;, ,;DATE IN_; DATE OUT `:TIME IN._TIME OUT il,_ — VEHICLE,,, ROLLOFF
07/17/18 07/17/18 07.14 07:14 11114T
009316 Town of Babylon REFERENCE
Scale 2 Gross Wt 91200 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 57220 LB
QTY -'UNIT DESCRIPTION- RATE EXTENSION 'FEE 70TAL'
2861 TON OUTGO MSW 0.000 000 0.00 0.00
{
ar a
Operating hours 7 Od AM todays a wee �" — T :�- ;" •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 P. - ,��• 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 k''ya,- .7 .
, .,_# +�\,," TENDERED
,.:.
:s'0: 0 s
CHANGE`
CHECK NO. l
SIGNATURE
"DUPLICATE TICKET** sITE TICKET
ARID `- " WEIGHMASTER -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379504 Steph
PO Box 962/6155 Cox Lane
DATE IN, DATE OUT TIME IN`TIME OUT VEHICLE = ROLL OFF .F..
Cutchogue, NY 11935
07/17/18 07/17/18 07:14 07.14 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 91200 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 57220 LB
d QTY "' , _ AL-DESCRIPTION ,RTEAFEE; ,.TOTAL-,,
2861 TON DUTGO.MSW 0.000 000 000 0.00
y jrs
Operating hours 7 OdAIVI to 5 06 PM 7 days a wee e s ,f •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E `� 0.00
�* `
NEXT HOLIDAY. Memorial Day, Monday, May 28 }° _ "}/' =' 'TENDERED
.'CHECK NO=j
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2459
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: ; :g (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: 1 %a�� GROSS -
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES,NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIG�7ATUREj
TRANSPORTER
TRANSPORTATION/FREIGHT'CO. J I ` 4 I ` Ii I
TRUCK NO. 2— `; LICENSE NO/STATE:
TRAILER NO. ( LICENSE NO/STATE:
I HEREBY CERTIFY THAT THEABOVE NAMED MATERIAL•WAS PICKED-UP AT THE GENERATOR SITE LISTED ABOVE; AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: �Z r
(PRINT NAME) G (SIGNATURE)
DISPOSAL LOCATION: `.I t r ) ! i\ ( DESTINATIO
�� )�} ) ' � 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
r,$ITE
OWTE TI C KET`
S J_TOWN DEPT SOLID WASTE 01 01379727 Dan
PO Box 962/6155 Cox Lane
-i,6AfbN-1-- DO' E__0Lk1 "�-_`TMIE__)N�TiME�'O UT VEHICLE. -#01-C
OFF�,,
Cutchogue, NY 11935
009316 Town of Babylon 07/18/18 07/18/18 108:43 108:43 1 111 14TC
REFERENCE
Scale 2 Gross Wt 89940 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 55960 LB
y 'TOTA
CITY., DESCRIPTION -.EXTENSION' _FEE
:UNIT
2798 TON OUTGO MSW 0.000 0.00 0.00 0.00
'4P j
z
's
operating hours 1:0d AM to 5 Ob PM 7 days a weeK�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-M85.-,1 - 000
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED"
X, CHANGE
CHECKrN
SIGNATURE
C�SITE -Tilqt�ET �GRID EGHMASTER'--i
**DUPLICATE TICKET"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01379727 Dan
PO Box 962/6155 Cox Lane -- -- ---
PA��E-IN,_, �,E1ATEqyT,,,,,_-,T 1'1 VEHIqL 1",�,,�RqL�PFFI_
Cutchogue, NY 11935
009316 Town of Babylon 07/18/18 1 07/18/18 08:43 08:43 111 14TC
REFERENCE �ORIGIN
Scale 2 Gross Wt. 89940 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 55960 LB
'TOTA
-PATE _EXTENSION,'�':, -TOTA
Qjy DESCRIPTION
UNIT�
- _QTy
2798 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Al
Operating hours 7.0d AM to 5:06 PM 7 days a weeM- %
A'r
-QUESTIONS CALL 631-734
CLOSED HOLIDAYS -768�
0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 �TENOEREU
�-7CHAN
1_7 CHECK NO
SIGNATURE
s Y NITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2464
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�ZSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }
COMPANY: �'_I (J L , SHIP DATE:
COMMODITY SHIPPED: J` k c; \-j
LOOSE: 1 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: `.r"`,%' r,�f'i GROSS
h - !) 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 ACGORDING_JO=AP_P_L-ICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
/
TRUCK NO. 11 LICENSE NO/STATE:
TRAILER NO. t LICENSE NO/STATE:
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND'THAT-IT-WAS.
DELIVERED WITHOUT-INCIDENT TO?HE DESTINATION LISTED BELOW-_ ~
DRIVER: ----'• ,� �,
(PRINT NAME) (SIGNATURE)
DESTINATION 77
DISPOSAL LOCATION: ��ll !'ill 1 ( �"� DATE DELIVERED: i
ADDRESS:
HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE-BEST OF MY KNOWLEDGE THE INFORMATION.PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
'`DUF#CATE TICKET" rp(T61 _IICkEr - I GRID
eOUYHOLD TOWN DEPT SOLID WASTE 01 01379909 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 -DATE IN 64E-OUT" TIME IN TIME OUT - , VEHICLE= ROLLOFF-r
D7/19/18 07/19/18 8:01 8:01 11114TC
009316 Town of Babylon
REFERENCE- ORIGIN
Scale 2 Gross Wt. 90820 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 54200 LB
-,EXTENSION,,,-,---
CITY., _'UNIT- DESCRIPTION'. „ RATE;, _41FEE= , "TOTAL,
d.'
27.10 TON DUTGO.MSW 0.000 000 000 000
A7
9�
Op�!j 7.88'AM to 5 8 ciyo C3 vv%5UA.,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. M"UU U"
NEXT HOLIDAY- Memorial Day, Monday, May 28 TENDERED--`
CHANGE
CHECK NQ'_ ,,
SIGNATURE
**DUPLICATE TICKET' ,,6t ;r;_ 'TICKETI,%
SOUTHOLD TOWN DEPT SOLID WASTE )1 01379909 Liz H
PO Box 96216155 Cox Lane
Cutchogue, NY 11935 TIME1.I1N.1 I'TIm1f,-6ur l- ROLLOFF
. I
009316 Town of Babylon )7/19/18 7/19/18 )8:01 801 11"114TC
REFERENCE
Scale 2 Gross Wt. 90820 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 54200 LB
QTY
T
""RATE'
y.
2710 TON UTGO.MSW 0.000 0.00 000 0.00
U 11
operamTg-nuurs 7: 5 014 P171 7 day 71�
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 TENDERED
77777CiWIGE
.7-CHECK NCr.
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2491
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\A�SS,UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. !
COMPANY: DO L'k`i w o L 1�9 SHIP DATE:
COMMODITY SHIPPED:
LOOSE: ) 0 0 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: i r r`,-L c) GROSS
TARE
f:. NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40,CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 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. 2-5 • LICENSE NO/STATE:
TRAILER NO. cl ">) LICENSE.NO/STATE:
I HEREBY CERTIFY THAT-THE ABOVE-NAMED MATERIAL WAS'PICKED-UP AT THE GENERATOR'SITE.LISTED ABOVE, AND THAT-IT'WAS
DELIVERED WITHOUT,INCIDENT TO THE DESTINATION LISTED BELOW.
DRIVER: {1 L1 (17)
(PRINT NAME) /� (SIGNATURE)
DESTINATION .
DISPOSAL LOCATION: .1 A �,)A /J�! �� ' DATE DELIVERED:
ADDRESS:
r
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.
�* SITETIC{CET ''" GFitD _F WEIGHMAST;EFi;, =A'
L�`ur LIGATE TICKET** � .'
SOUTHOLD TOWN DEPT SOLID WASTE 1 01379970 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 `DATE IN ,.,Y r.DATE OUT,, TIME_,INTIME OUT_ _,VEHICLEw',, , =ROLL OFF u:£�__,
7/19/18 7/19/18 1:48 1:48 111 14T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 88180 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 54200 LB
QTY." ?_" 'UNIT , DESCRIPTION', „'r" RATE"_ EXTENSION „__.' '.;FEE^w_z.,° _` TOTAL.;
27.10 TON CUTGO.MSW 0.000 0.00 0.00 000
4
PcayaclWourv ! 111
. „ ” l i
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , `'= '� -- �' �a" '�, l 000
NEXT HOLIDAY: Memorial Day, Monday, May 28 Zr
y aw '' . . ,.., �;, /�.f TENDEREDm_ ,."1
�- ,
CHANGE
CHECK NO.-
SIGNATURE
*DUPLICATE TICKET" srr - 71c'Iii T"'- GRIo rN�iGHMASfER� � -
SOUTHOLD TOWN DEPT SOLID WASTE 311 01379970 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ;DATE I" ` DATE oUT°' °TIME iN TIME�OUT VEHICLE4'" ROLLOFF
7/19/18 7/19/18 1.48 1:48 11 114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 88180 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 54200 LB
QTY.., _ "'UNIT'"'�-. - a„",_ "DESCRIPTION _ ._'.RAT_E _'=F�(IENSION°- _'='=; -FEE-- ,; "_- ,'; ;=TOTAL °-
2710 TON CUTGO.MSW 0.000 0.00 0.00 0.00
I_
Op
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 `�. — ' 0.00
rTENDERED
NEXT HOLIDAY: Memorial Day, Monday, May 28 � ' t
f
a £? �
-CHANGE
CHECK' O_`771
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2454
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 NO1T ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
# r }
COMPANY:- 0 LAI fir) 0 L. 1 i SHIP DATE:
COMMODITY-SHIPPED: P/\ s l,j
LOOSE: (CU YDS)
a
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED;AND-IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION:
r € '
GENERATOR AUTHORIZED-AGENT(PRINT NAME) (SIGNATURE)
-- — _ - -- ----- TRANSPORTER
f�
TRANSPORTATION/FREIGHT.CO. � ) rd `s
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: f ff
DRIVER:
(PRINT NAME) ! (SIGNATURE)- --
DESTINATION •%�,"�`� '_- ---- -_ -- . .
DISPOSAL LOCATION: ��
f ' � f t L i / DATE DELIVERED:
ADDRESS: \ J
• 1
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEP-TED.AND TO THE BEST OF MY KNOWLEDGE THE,INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/r "
KEY: WHITE TO DISPOSAL LOCATION
'GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR.
i
-7 --W
777-1,± ir
VOL4PLICATETICKET" TER
C
"SOUTH&D TOWN DEPT SOLID WASTE 01 01380085 Liz H
PO Box 962/6155 Cox Lane —P,,-rpL-pr6TF -
VEHICLE-
Cutchogue, NY 1,1935 OUT'�� TIME--IN TIMEOU11, - -
IRI ,'PATEi,
07/20/18 07/20/18 07:21 07:21 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 89480 LB Outbound-Charge ticket
Manual Tare Wt 36620 LB
Net Weight 52860 LB
- :' -,--,
'UNIT' 1,,DESQRIPTIOW,5-,-,,1-- _-
RATE �,'EXTENSIOR-,' FEE TOTAL
0TY.,
26.43 TON DUTGO MSW 0.000 0.00 0.00 0.00
Q!jy
-XI
vl�
0 ulatiny houis 7 00 AM tu!-3 04 PIVI 7 days a ---------
�p �,q I ffm LVA Lai I Iq a I
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7085 000
NEXT HOLIDAY Memorial Day, Monday, May 28 o TENDERED,-1--
CHANGE
CHECK-NO
SIGNATURE
"DUPLICATE TICK/ET** Ip,
GR EIGHMASTER' -"'-�`--1)
SOUTHOLD TOWN DEPT SOLID WASTE Di 01380085 Liz H
PO Box 962/6155 Cox Lane I
U -jT1-M'E'O6fj VEHICLE BOLL
N, , DATE OUT, TIMEIN E I N
Cutchogue, NY 11035 ',DAfE'i ---FF,
)7/20/18 7/20/18 7.21 [`7 21 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 89480 LB Outbound-Charge ticket
Manual Tare Wt. 36620 LB
Net Weight 52860 LB
�QTY,
y"- "', ,11;'�!7'11' , -- _RATE,`,-' " - , --`-4,FEE
- - QTY, UNIT',,- DESCRIPTION, EXTE
TE.' NSION TOTdAIL2 -
2643 TON ()UTGO.MSW 0.000 0.00 0.00 0.00
P--
Operating nours 7 DO Am to 5 DO PIVI I days a wee)()��
CLOSED HOLIDAYS - QUESTIONS CALL 631-734-7685 -V 0.00
Nj
NEXT HOLIDAY Memorial Day, Monday, May 28 TENDEREIYT-
CHANGE
CHEQKNO�:l
SIGNATURE
TPJNITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2493
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 NOTT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: } �� E A i�-; f) L ')) SHIP DATE: y I !f
COMMODITY SHIPPED: s M 1 V\)
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ````f L
GROSS
TARE
• NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ,f 1 /\J
TRUCK NO. > LIC/ENSE 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)
DESTINATION --
t
DISPOSAL LOCATION: ; V A nj T / U/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:
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.
- 61 ET' `-'j A4t
J'
g;%YPLI�ATETICKETM
SOUTHOLD TOWN DEPT SOLID WASTE 01 01380160 Liz H
PO Box 962/6155 Cox Lane
-_DATE 11`4�1 DAfiE_OUT -TIME IN TIME OUT VEHICLE= 0§1�
Cutchogue, NY 11935 —
07/20118 1 07/20/18 11:01 11:01 111 14TC
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 92480 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52080 LB
"'OTy
ESCRIPTION RATE' " 'EXTENs
TOT
2604 TON DUTGO MSW 0.000 000 0.00 0.00
J
Operating nours 1:UU AIVI to b UO HIVI I days a wee K.j$,
AIIIIIIIIIIIIII0 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685',, 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -'TENDERED-,"'
CHANGE,
CHECK NO.-,;,,,
SIGNATURE
"DUPLICATE TICKET" S1TE TIGI<EiGRIb-
SOUTHOLD TOWN DEPT SOLID WASTE 31 01380160 Liz H
PO Box 962/6155 Cox Lane
'
Cutchogue, NY 11935 --_'DAtE'iN-f DATE OUT TIME IN TIME OUT 'VEHICLE _ROLL FF'
37/20/18 07/20/18 11:01 11:01 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 92480 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 52080 LB
. ... DESCRIRTION",
QW. EXTENSION FEE^;
2604 TON ()UTGO.MSW 0.000 000 0.00 000
N
(V
el_
Operating hours 7:00 AM-to 5*00 PRI 7 days a wee K_i,*4,
CLOSED HOLIDAYS- QUESTIONS CAL 0.00
L 631-734-A,45"-'!�"
NEXT HOLIDAY: Memorial Day, Monday, May 28 j
k
J�
777HANGE
CHECK NO.
SIGNATURE
TkINITY TRANSPORTATION CORPORATION :
214 Blydenburgh Road NO. 2494
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 NOTtASSUME ANY LIABILITY-,ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: tom ' ` - I1 . t! SHIP DATE:
COMMODITY SHIPPED:
LOOSE: (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: C =f GROSS
Ll TARE
C� NET
1 HEREBY CERTIFY.THAT THE ABOVE NAMED MATERIAL DOES NOT=NTAIN FREE LIQUID AS DEFINED.BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261-OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
---- --- -- - ---- --- -
TRANSPORTER
TRANSPORTATION/FREIGHT-CO. t 1 'N / 1
TRUCK NO'. LICE,�NSE NO/STATE:
TRAILER NO.. : ) LICENSE`NO/STATE:
1 HEREBY CERTIFY-THAT-THE ABOVE NAMED'MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT•TO'.THE-DESTINATION'LISTED'BELOW:
DRIVER:
(PRINT NAME) `/ (SIGNATURE)
--DESTINATION`;_ ''�___,.__-_ ___.__
DISPOSAL L•OCATION /�-lJ7A f. i 4JJ� ('}�� DATE DELIVERED: l g
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:
1
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.
' TION CORPORATION
DUPLICATE TICKET
SOUTHOLD TOWN DEPT SOLID WASTE NO. 2492
SOUIHOLD TOWN TRANSFER STATION
PO Sox 962/6155 Cox Lane
Cutchogue, NY 11935
Weighed: Dan NLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
4BILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
BILL TO: 9316
Town of Babyinn �) L-ln SHIP DATE:
Vehicle ID: 11114TC _ (CU YDS)
Reference:
DATE IN: 07/21/2018 TIME IN: 07:20:23 GROSS
DATE OUT: 07/21/201B TIME OUT: 07:20:23 TARE
OUTBOUND TICKET Number: 01-01380317 I NET
SCALE 3 GROSS WT. 86400 LB
MANUAL TARE WT. 36280 LB ERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
NET WEIGHT 50120 LB EAS DEFINED,BY'40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
N PROPER CONDITION FOR TRANSPORTATION•ACCORDING.TO`AP_PLICABLE REGULATION
REPRINTED BY
Dan at 07:21:44
NT NAME) (SIGNATURE„`` ,
Oty Description Amount
2.5.06 OUTGO-MSW 0.00
_- TRANSPORTER
1 TICKET AMOUNT: 0.00
/LICENSE NO/STATE:
LICENSE NO/STATE:
X - ERIAL WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS
ION LISTED BELOW: -• %�
(PRINT_NAME) rr'' (SIGNATURE)
DESTINATION:
1
DISPOSAL LOCATION:Ct11j`VtAV\Y1 N -�J ri jWP - 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:
i
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO
"DUPLICATE TICKET Tt`"GRf6 `' Wig- j _., WEIGHMA�STER
SOUTHOLD TOWN DEPT S)C`
PO Box 962/6155 Cox Lane 4
-DATE IN DATE-OUT" TIME IN_TIME OUT VEHICLE
Cutchogue, NY 11935 _- _ ,
009316 Town of Babylon REFERENCE
Scale 2 Cir-,F
Manual T, c
Net Weigh
QTY- UNIT=- DESCRIPTION = RATE EXTENSION FEE , TOTAL
25.98 TON _ 0.00
f' c.1,,, ��� 'yip�3�t/¢;jf� sip �,~4•
CLOSED HOLIDAYS - QUEST 31 0.00
NEXT HOLIDAY Memorial D,:j iy TENDERED
f,,
I, r� CHANGE
.CHECK NO.'
SIGNATURE
"DUPLICATE TICKET* SITE TICKET GRID-- WEIGHMASTER
SOUTHOLD TOWN DEPT ,;Oi
PO Box 962/6155 Cox Lanz
Cutchogue, NY 11935 DATEIIN^ DATE"OUT "TIME IN-TIME OUT 'VEHICLE"` ROLLOFF'
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 f
Manual Tare '
Net Weinr(
QTY: 'UNIT ;' ;„ DESCRfPTIdN, r' "'PATE,M ') EXTENSION^ FEE "" ,TOTAL,
2598 TON W 0.00
Op a .. n r° .= ' •
U
CLOSED HOLIDAYS-QL S-' 31 ~`
64!",e �. ✓` "*f 0.00
NEXT HOLIDAY Memorial '-,, iy ' ` �� ��; C, t;s _� TENDERED
CHANGE,
CHEQWN0 zA
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 B lydenburgh Road NO. 2495
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }
COMPANY: } 0 ; I11 t, kl_ SHIP DATE:
COMMODITY SHIPPED: d IL1 \-1 J
LOOSE: I Or (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: GROSS
TARE
C� NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED-BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED'AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO."
i
TRUCK NO. LICENSE NO/STATE:
TRAILER NO. Z 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: t
(PRINT NAME) 1 .
(SIGNATURE)
ONi►TION-.-.,
DISPOSAL LOCATION:" �J !I �r-�� �_�f`l3 j `� �C,' A�� � DATE DELIVERED: I t
ADDRESS: r )
I -
I HEREBY•CERTIFY THAT THE ABOVE MATERIAUHAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATUREIDATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET"
I , _f 7
6R 6"
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381113 Steph
PO Box 962/6155 Cox Lane 1, 1 1 1
DAtE 6ATE-'_dbt TIMEIN' nMJE'0,1Ln "",VEHIbLE
Cutchogue, NY 11935 - ROLLbFF
009316 Town of Babylon 017/24/18 1 07/24/18 1 07:30 07:30 111 14TC
REFERENCE ORIGIN
Scale 2 Gross Wt. 86880 LB Outbound-Charge ticket
Manual Tare Wt 33980 LB
Net Weight 52900 LB
W
'EXTENSION �`FEE TOTAL
RATE v QTYII�'_��_"11111 UNIT,
DESCRIPTION"� :RATE
26.45 TON DUTGO.MSW 0000 0.00 0.00 0.00
7
All
_4W
Operating hours TOU AIVI to b UU PIVI I days a wee '
T7 7 y •
i,
8640
3
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76 5. z " --I— - 000
l ,
NEXT HOLIDAY: Memorial Day, Monday, May 28 k91,
TENDERED
CHANGE
SIGNATURE
CHECK'No�
�
("SITE GRID„"DUPLICATE TICKET" , , � 1),,, AV
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381113 Steph
PO Box 962/6155 Cox Lane -
r DAtE`]N_,,� DAIriE_ YT, --TIMEIN IrMi, ROLLOFF,,"
Cutchogue, NY 11935 1 OUT,, ;VEHICLE,.,,
07/24/18 07124/18 �7.30 107 30 1 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt 86880 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 52900 LB
-_QTY _UNIT
DESCRIPTION RATE_ EXTENSION FEE
TOTAL
2645 TON DUTGO.MSW 0000 000 000 0.00
sg
j
Operating 0 oursLto 7775�vsa wee
CLOSED HOLIDAYS- QUESTIONS CALL 631-734-7686 ��-2- 0.00
NEXT HOLIDAY Memorial Day, Monday, May 28
aVTENDERED
t -i
4
CHANGE :•
CHECK 1\10:::�
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2490
Islandia, NY 11749 y
(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 U u�i t , 6 i t SHIP DATE:
COMMODITY SHIPPED: )moi /
LOOSE: I (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 TRANSPORTAT.IONA000RDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) (rte ' (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO: K
TRUCK NO. qq 2— 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
�t
DRIVER:
(PRINT NAME) _% (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: ` (NA tf A n1-FAI'A' i� `I �:;;•1 J DATE DELIVERED- ( !
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
1?OUTHOLD TOWN DEPT SOLID 01 Steph
PO Box 962/6155 Cox Lane " T" I `�,-
L
6af _i1ME,1N,jYWEb6Tj
T - _ I,
Cutchogue, NY 11935
07/24/
009317 Power Crush- Ketcham 1 P. 11.45
REFERENCE
140 Old Northport Road i�m"
Kings Park NY 11754 5777
Scale 2 Gross Wt LB �rge ticket
Manual Tare Wt LB
Net Weight LB
,'D _ _,,'_,i 11T111)
j
_ IESCRIPTION ',,,-RATE�,, %,-Z1 ,,T,0TAL
= EXTENSION„
7.24 TON inc,, 60 0.00 10860
Z-%
N
i S,%°a� �}6 y i o- � 3,
CLOSED HOLIDAYS QUESTION:' 108.60
-TENDERED,,.
NEXT HOLIDAY Memorial Day, M(
'4)
CHANGE,
1-- ;CHECKNOn;771
SIGNATURE
SITE 6T
;.GRID,''T,� ET
SOUTHOLD TOWN DEPT SOLID 01 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DAT TE_1IPTTIM' E,fN:ff[ME_ '40`1CLROLLOFF,
07/2a/1 P 11:45
009317 Power Crush- Ketcham
140 Old Northport Road REFERENCE
Kings Park NY 11754
Scale 2 Gross VV (p k.-)L.0 LB ge ticket
Manual Tare Wt mv LB
Net Weight b V LB
QTY_ UNIT_ -DESCRIPTION RATE, EXTENSION FEE
TOTAL'
7.24 TON 3w q 60 0.00 10860
1 v4
Operating hours 7 00 AM to 5 00 Pf Y •
CLOSED HOLIDAYS- QUESTION� 108.60
NEXT HOLIDAY. Memorial Day, [%A,, TENDERED
-J
777777UPPME,
HECK-NO.
SIGNATURE k\ -
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2496
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: i t ?'I 1 r SHIP DATE: 4' t
COMMODITY SHIPPED: .� l„i
LOOSE: d� (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: %'fit .✓ GROSS
` 'UG TARE
Z,': �C�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-TRANSFORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (S'1`GNATURE,:•:
TRANSPORTER
TRANSPORTATION/FREIGHT CO. ; %�-� t ; ("")1!
( 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.
f.
DRIVER:
(PRINT NAME) i (SIGNATURE)
DESTINATION-.—_:-___
1
DISPOSAL LOCATION:;�I` ,'=i,%A j-,)T-14 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' r _ { KED w GRi>a wE'COO S'�Et�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381376 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 =;, _iN `_ _'pACE,OUT-r .7iM 1[v.7IME-oil_ ` vi H�GL
- =
07/25/18 07/25/18 11:34 11'34 111 14T
009316 Town of Babylon
REFERENCE- ORIGIN
Scale 2 Gross Wt. 98680 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 58280 LB
' SREPCION. . EXTENSION FEE =TOTQTY UNIT 1
29.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 "rl tvoE13ED
CHANGE '
CHECK NO
SIGNATURE
"DUPLICATE TICKET"` SITE --, TICKET ERIC) WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 1 01381376 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN, DATE OUT TIME IN-TIME OUT . , VkHIC,LE.. ROLL OFF1
7/25/18 07/25/18 1:34 11:34 111 14T
009316 Town of Babylon
REFERENCE 'IN
Scale 2 Gross Wt. 98680 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 58280 LB 7
QTY'.. UNIT. _ DESCRIPTION, RATE EXTENSION FEE, _ TOTAL .
29.14 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating MUM •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 __TENDERED_'``
CHANGE, _ =
GHECKH!
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road - . ! 2498
Islandia, NY 11749 NO.
(631) 342-9673--
THIS
42-9673--THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY.CARGO ORMATERIALS
BEING SHIPPED AND DOES NqL AfSSUME ANY LIABILITY"
SySOCIATED-WITH THE SHIPMENT OF SUCH-MATERIALS. ,
COMPANY: c 1t :_ ) I-i f 0 L _I i SHIP DATE: h,5 1 1
COMMODITY SHIPPED:
j
LOOSE: ) (CU YDS)
r
BALES: (COUNT):
TRUCK WEIGHT: :> f7 GROSS
` 6f TARE
J) NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL" DOES NOT CONTAIN FREE IL CONTAIN DEFINED BY'40'.CFR-PART 260.-10'OR ANY
APPLICABLE STATE LAW,ISNOT HAZARDOUS WASTE AS DEFINED BY 4,0`CFRPART-a261 OR'ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORTATIO"CCORDING TO APPLICABLE,REGULATION.-
a
GENERATOR AUTHORIZED-AGENT(PRINT NAME) , (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT'CO.
TRUCK NO. 5 [LICENSE NO/STATE:
TRAILER NO. - I LICENSE NO/STATE:
LHEREBY-.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,31 / ' 1. -A AV uo fj 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
RANSPORTER:PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
"DUPLICATE TICKET" sr{E '`TtcizE► - Ro°' EiGri�ias7E
SOUTHOLD TOWN DEPT SOLID WASTE FDA7/2!�il
01381307 Steph
PO Box 962/6155 Cox Lane
=Cutchogue, NY 11935
A 07/25/18 07:24 07:24 11114T
009316 Town of Babylon
REFERENCE ORIGN
: Scale 2 Gross Wt. 80860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46880 LB
QTY`" --UNIT` >. , - '_, "-'D'ESGRIPTION ' .-e `. ' RATE; . ";-=.EXTENSIO&`_,' _ FEE
23.44 TON DUTGO.MSW 0.000 0.00 000 0.00
Operating nours TOO AIVI toclays a weeK. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 '--",TENDERED,
CHANGE-_
XHIECK NO.
SIGNATURE
"DUPLICATE TICKET** SITE, TICKET 7 GRID _ :uVEiGHMASTER,`_
SOUTHOLD TOWN DEPT SOLID WASTE 1 01381307 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'IN,' DATE OUT TINIE,14 TIMEAUT VEHICLE "'AdLL-OFF'.
7/25/18 7/25/18 7:24 7:24 11114T
009316 Town of Babylon
REFERENCE
Scale 2 Gross Wt. 80860 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46880 LB
QTY USIT DESCRIPTION RATE FXfEN51pN FEE TOTAL=
23.44 TON CUTGO.MSW 0 000 0.00 0.00 000
Operating hours 7:00 AM to 5:00 PM 7 days a wee •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ;`_=TENDERED=__'__
CHECK NO.. "`."•
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
~t. 214 Blydenburgh Road 2497
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: { a, —I-' +, 1 �.t ) SHIP DATE: J6
COMMODITY SHIPPED: ;
LOOSE: ! 'I (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: ,'
GROSS
TARE
Ll t;,(<,-'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
{ j t
TRANSPORTATION/FREIGHT CO. I i -j t 1.x:1 '.,
TRUCK NO. 2_5LICENSE 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)
RIVER: (PRINTNAME) "----(SIGNATURE)
DESTINATION' -
"V
DISPOSAL LOCATION,- , C&Y/l/,j_lAOmi LOA ) DATE DELIVERED:. ) )
ADDRESS: Y
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.
AR �41, TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2499
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
L
COMPANY: SHIP DATE: Z J
t /
COMMODITY SHIPPED:
LOOSE: ) 0 0 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: PC 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
11113 � �
TRANSPORTATION/FREIGHT CO.' �
TRUCK NO. ,i..�-sem LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
I HEREBY CERTIFY-THAT THE ABOVE NAMED MATERIAL- WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE-, AND THAT IT WAS
DELIVERED WITHOUT INCIDENTTO THE DESTINATION LISTED BELOW. -
DRIVER: V ° y��✓✓
(PRINT NAME) (SIGNATURE)
f
DESTINATION
DISPOSAL LOCATION. � 1 ?I t\l`� i l\ -J � �`. l i DATE DELIVERED:
ADDRESS: v v J 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.
D
"DUPLICATE TICKET** diii - _ST
SOUT1,41OLD TOWN DEPT SOLID WASTE 01 01381521 Liz H
`PO Box 962/6155 Cox Lane -
Cutchogue, NY 11935 qwkq IN -OATE,OUTI Ttnes IN VEHI
&E
07/26/18 07/26/18 11:37 11:37 111 14TC
009316 Town of Babylon
Scale 2 Gross Wt. 80840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46860 LB -FEE,-- -'TOTAL----'----,,
TE
QT?, -DESC Z
QV-1- �UNIT RIPTION EXTENSION
23.43 TON DUTGO.MSW 0.000 000 0.00 0.00
Operating nours /:UU AM TO 0:UU I'M I days a weeK.1 •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 'TENDERED
CHANGE,�'
-
-CHECKNO
SIGNATURE �-�j
"DUPLICATE TICKET" rkEl TICKET' 'GRID INE1Gt MAStER,'
I -
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381521 Liz H
PO Box 962/6155 Cox Lane -OUT TI- N 'OUT 'V LE '-RO ROLLOFF Cutchogue, NY 11935 DAFEINI, IDATE "J, I LL , F
TIME EH�q
7/26/18 07/26/18 [11:37 111:37 111 14TC
009316 Town of Babylon REFERENCE ORIGIN
Scale 2 Gross Wt. 80840 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 46860 LB
Q UNIT = IeTIONt' '"TOTAL
-DESCR RATE EXTENSION FEE-
23.43 TON )UTGO.MSW 0.000 0.00 000 0.00
Operating hours 7.00 AM to 5:00 PM 7 days aweek.
CLOSED HOLIDAYS-QUESTIONS CALL 631-734JI585.,�, !'f
0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 F TENDERED.:"
:'CHANGE-
'-,CHECK-NO
SIGNATURE
r
,, ,TRINITY'TRANSPORTATION CORPORATION
214 Blydenburgh Road 2500
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: L1 (AT.0 c, _ 11' SHIP DATE:
COMMODITY SHIPPED: I` S \-J
LOOSE: _100 (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE -
t r r u'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
Ri
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER -
TRANSPORTATION/FREIGHT CO'. >� 11� i L V �
TRUCK NO. - l/lCENSE-NO/STATE: `
`rry,
TRAILER-NO. . - 2- LICENSE NO/STATE:
HEREBY CERTIFY-THAT-THE ABOVE-NAMED�MATERIAL WAS�PICKED,UP-AT,THE'GENERATOR'SITE'L°ISTED•ABOVE; 'AND THAT,IT.WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION.LISTED'BELOW
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION"
DISPOSAL LOCATION:, }11 A All /.r` 1���/;--'��_�- �''�1�'' DATE.DELIVERED: "2
ADDRESS:
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED-AND TOTHE BEST pF 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.
e0lJTH&_D TOWN DEPT SOLID WASTE 01 01381719 Liz H
PO Box 962/6155 Cox Lane
N, , '-DATE E 1W TIME OUT HICLE ROLLOFF
El E0
Cutchogue, NY 11935 TIM -_
07/27/18 07/27/18 11:42 1 11:42 11114TC
009316 Town of Babylon
REFERENC
Scale 2 Gross Wt. 99860 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Weight 59460 LB
�FLA -EXTENSION TOTAL
_Q-ty TE - FEE-
vy.- UWIT DESCRIPTION
29.73 TON DUTGO.MSW 0.000 0.00 0.00 0.00
vi
_3
Operating hours 7:00 AM to 5:00 PM 7
days a week!-,
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28
TENDERED
-- ---CHANGE
--CHECK NO-
SIGNATURE
rf#I TICKET_
GRi-d-- WEIGHMASTE9
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381719 Liz H
PO Box 962/6155 Cox Lane -
'RdL OFF-�DATE,66Tt,�`Ijlm IN TIME T VEHICLE;'"'Cutchogue, NY 11935 , 1
009316 Town of Babylon 07/27/18 07/27/18 1:42 111:42 1 11114TC I
REFERENCE
�/27/118 1-4;
4C�E •
Scale 2 Gross Wt. 99860 LB Outbound-Charge ticket
Manual Tare Wt. 40400 LB
Net Wei aht 59460 LB
,
T
OQTY_ _ RIPTI EXTrN$t0W01
29.73 TON CUTGO.MSW 0.000 0.00 0.00 0.00
IN—
Operating hours 7:00 AM to 5:00 PM 7 days a week"
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7185. 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 11W
.-CHECK NO
SIGNATURE
f ftINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road 2 419
NO.
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: t 0 U1 ) �'1 C% t_- SHIP DATE:
COMMODITY SHIPPED:
LOOSE: j (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: j 6 ? rte GROSS
Q '<-t TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY'
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO-APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. .� ` t I ;\j '
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: ----------_� �..-'` • r
(PRINT NAME) r (SIGNATURE)
f DESTINATION _-
f
DISPOSAL LOCATION: f�' (� / , �r �` I, C,°�`� DATE DELIVERED: ) ,
ADDRESS:
I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED—B
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" rSITiE I TICKET II , -, -WEI HIVIAStff ,,
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381638 Liz H
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935, b&i I 64TEOUt' EINE Int 'n-me-OutilvEHCCtE
pbtOF
07/27/18 07/27/18 07:22 07:22 111 14TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 80420 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 44420 LB
TdOTA
QTY NIT -EXTENSION- FEE':,
X, U DESCRIPTION
22.21 TON DUTGO.MSW 0.000 0.00 0.00 0.00
01juiating houis 7.0IJAM to 5.0 191 1 7
�p •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: 0.00
NEXT HOLIDAY. Memorial Day, Monday, May 28 'TENDEREO
CHANGE`
CHECK NO. _
SIGNATURE
rViEf TICKET" GRID.,
RID,, W
DUPLICATE TICKET" IE ' MAST&Ir,-EIGA
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381638 Liz H
PO Box 962/6155 Cox Lane 1_
_DAA IN DATE OUT - TIME IN-TIME 0 �_VEHJ61.t, ROLLOFF
Cutchogue, NY 11935 - UT,
07/27/18 07/27/18 07:22 07:22 1.1114TC
009316 Town of Babylon
REFERENCE ORIGIN
FScale 2 Gross Wt. 80420 LB Outbound-Charge ticket
Manual Tare Wt. 36000 LB
Net Weight 44420 LB
----Q7Ty,—, UNIT DESCRIPTION A
� - -_ ,QTY,:- RATE EXTENSION 'PEE,= TOTAL
22.21 TON )UTGO.MSW 0.000 0.00 0.00 0.00
Opera ng hours 7:00 AIVI to 5.00 P191 I days a vveek. •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 -TENDERED',
CHANGE,
CHECK N
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2 418
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 NE ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: (,1��("�j o L 'r) SHIP DATE:
COMMODITY SHIPPED: MS \AU t
LOOSE: 0 (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: iJ %a GROSS
TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES-NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR-ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO. /\. I n 1 i \f / V /u� /\j
TRUCK NO. V f LICENSE NO/STATE:
TRAILER NO. 1 LICENSE NO/STATE:
I HEREBY•CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR-SITE L•ISTED,ABOVE, AND,THAT-IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.
-DRIVER: IJ ,r
(PRINT NAME) (SIGNATURE)
STINATION
DISPOSAL LOCATION: +U FA t
DATE DELIVERED:
ADDRESS:
1 HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE-THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.
,r77
**DUPLICATE TICKET" -,j
SOUTHOLD TOWN DEPT SOLID WASTE 01 01381852 Steph
PO Box 962/6155 Cox Lane
K, tDATE_OUT;; TIME VEHICLE _ ROLLOFF
E IN, TIME OUT
Cutchogue, NY 11935 DATE
07i28/18 07/28/18 07:24 07:24 111 14TC
009316 Town of Babylon REFERENCE OR I IGIN
Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 49180 LB
RA EXTENSION FEE TOTAL
4"'e" TOTAL
24.59 TON )UTGO.MSW 0.000 0.00 0.00 0.00
og
Operating hours 7:00 AM to 5:00 PM 7 c
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4,-,,� 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 ;TENDERED;,,�,
CHANGE,
CHECK O:
SIGNATURE
�7777-1
sitE -'
"DUPLICATE TICKET" GRID",__
SOUTHOLD TOWN DEPT SOLID WASTE Di 01381852 Steph
PO Box 962/6155 Cox Lane7" R6LL"
`1"' " " TIME IN�'TIME 01 IT VEHICLE
Cutchogue, NY 11935 "DATE IN -6�xE&T
, , -_
D7/28/18 07/28/18 D7:24 �7:24 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Wei ht 49180 LB
QTY-,,,« UNIT_,' DESCRIPTION -NRATE._ EXTENSIOW� � `FEE�f
.TOTA
-1Z-
24.59 TON OUTGO.MSW 0.000 0.00 0.00 0.00
/4/
Operating hours 7:00 AM to 5:00 PM 7 days a week"
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED
CHECK-0::�-
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO. 2428
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: ( t i 1,6 : i1 SHIP DATE:
COMMODITY SHIPPED: 'V1 )
LOOSE: I ,i (CU YDS)
i -
BALES: (COUNT):
TRUCK WEIGHT: �•7 n 1 GROSS
"3--I_7& UG 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 TRANSPO TATION•ACCORDING TO APPLICABLE REGULATION
1
GENERATOR AUTHORIZED AGENT(PRINT NAME) r rr (SIGNATURE)
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. 2 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) (SIGNATURE)
DESTINATION
DISPOSAL LOCATION: fl�' ' i i ";r'°\ r 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.
**DUPLICATE TICKET*. ) _
,r GRID- ;Yi', £WEIGHMASTER ,' ,`�
SOUTHOLD TOWN DEPT SOLID WASTE 01 01382472 Steph
PO Box 962/6155 Cox Lane
FV
Cutchogue, NY 11935 �aTE`iN DATE'OUT 'TIME IN i7ME OUT " VEHICLE'___- ROLL'OFF�
' 07/30/18 07/30/18 2:01 112:01 11114T
009316 Town of Babylon
REFERENCE - ORIGIN
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 41700 LB
UNIT„ DESCRIPTION" _ - -RATE,,._,:.,. EXTENSION < '-FEE, .,.TOTAL m
20.85 TON UTGO.MSW 0.000 0.00 0.00 0.00
Operating nours TUU AIVI to ays a weep, `� ;�. �_� r 0=111•
9 me
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e, w'W r ' 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED-_^''--
;-CH NGE
SIGNATURE
*"DUPLICATE TICKET" SITE ,;",;,TICKET;,____ 'n;, GRID,; „ =1',, WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 31 01382472 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 oATeIN _ DATE OUT „;'TIME IN TIME-OUT ,` VEHICLE ROLLOFF.
7/30/18 7/30/18 2:01 2:01 11114T
REFERENCE
009316 Town of Babylon
Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 41700 LB
OTY_ _ UNIT, DESCRIPTION,,. =
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road NO 2422
Islandia, NY 11749
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: _)t/� (,� 1 �'� L- I_) SHIP DATE-
COMMODITY SHIPPED: `?iN 1
LOOSE: 1 0 11) (CU YDS) r
BALES: (COUNT):
TRUCK WEIGHT: / ; ,! - GROSS
TARE
NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40'CFR PART 260.10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE)
�a
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
TRUCK NO. i LICENSE NO/STATE:
TRAILER NO_ r�_ LICENSE NO/STATE:
I HEREBY CERTIFY-THATTHEABOVE 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)
DESTINATION
DISPOSAL LOCATION �f 1 1 f YA+�.d' '`y DATE DELIVERED:.
ADDRESS:
[HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THEBEST 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 M WEIGHMASTER ,_-
SOUTHOLD TOWN DEPT SOLID WASTE 01 01382351 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 ,DATE,IN_ _DATE_OUT-_ °TIME IN TIME OUT ;. VEHICLE' ROLL OFF
07/30/Y8 07/30/18 07:49 07:49 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 88340 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Weight 54360 LB
QTY':';_ UNIT_-. DESCRIPTION==. °,,: „ '-RATE EXTENSION''-`^' FEE: a"TOTAL;
27.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00
Opera Ing ours . 0 to 5:00 PM 7 days a week', " a .„ ..'F.";' '� ; �� •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `'a ':I} 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 6ws �` 'TENDERED .__
CHANGE'
,CHECK O
SIGNATURE
SITE " -TICKET a jA GRID"- r, _ '9" '".WEIGHMA'STER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01382351 Steph
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE'fN__''^ DATE_6U7_ TINIEzIN' TIME'Ot7T' VEHICkE" _ '°ROCL`OhF
07/30/18 07/30/18 7:49 L07:49 11114TC
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 88340 LB Outbound-Charge ticket
Manual Tare Wt. 33980 LB
Net Wei ht 54360 LB
.QTY_ � a_. _UNIT_ ..= ., == .__ DESCRIPTION , ,h r, `=. -m.. —- RATE FEE„v_ ._ ,: 'TOTAL
27.18 TON UTGO.MSW 0.000 0.00 0.00 0.00
rj> =
J.
,` �,.=, r� •.fit 1 -� _ ,4
Operating hours 7:00 AM to 5:00 PM 7 days a week.'` :. ;� ,,_ --1=`,' ..~ '•
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 000
NEXT HOLIDAY: Memorial Day, Monday, May 28 x y _ =.r. `'`=' a TENDERED -,L`
" CAGE'
7 CHECK NE19"
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
214 Blydenburgh Road . 2421
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 NO ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.
COMPANY: 0 tf a �1 1) L B 3 SHIP DATE: �
f t`
COMMODITY SHIPPED: M5 W
LOOSE: 10 t J (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: '^ �.�( , GROSS
`2'; TARE
NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN-FREE ILIL QUID 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`E�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. S f LICENSE NO/STATE: '
TRAILER NO. ' 7 3 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: Il` !V t ! `, J'/`� I� �i� _ A� DATE DELIVERED: j
ADDRESS: W Y 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.
r
""DUPLICATE TICKET" SITE TICKET - GRID wEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01382686 Dan
PO Pox 9626155 Cox Lane
Cutchogue, NY 11935 DATE-IN �DATE,OUT` TIME IN TIME OUT VEHICLE ROLL OFF
07/31/18 07/31/18 11:50 11:50 11114T
009316 Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 95300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 58300 LB
QTY. UNIT„ DESCRIPTION RATE EXTENSION FEE TOTAL
29.15 TON OUTGO.MSW 0.000 0.00 0.00 0.00
_ g f
OPP-Tating-hourS 7.U6 AM to 5606 PM 7 days a WeeKK AIIIIIIIIIII 04 1 a W-11 LTA MI'll 0
-- -'., n " r+J
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685&,4'1/ 0.00_•�.-� ..� �,�z ;,;
{ TENDERED
NEXT HOLIDAY: Memorial Day, Monday, May 28 `Nor yvrl ��
J ht g,
` CHANGE
CHECK NO. "
SIGNATURE
*"DUPLICATE TICKET" TICKET` GRID WEIGHMASTER
SOUTHOLD TOWN DEPT SOLID WASTE 01 01382686 Dan
PO Box 962/6155 Cox Lane
Cutchogue, NY 11935 DATE IN" 'DATE'OUT TIME IN TIME OUT VEHICLE ROLL OFF
07/31/18 07/31/18 11:50 11:50 11114T
009316,Town of Babylon
REFERENCE ORIGIN
Scale 2 Gross Wt. 95300 LB Outbound-Charge ticket
Manual Tare Wt. 37000 LB
Net Weight 58300 LB
QTY. UNIT.,-° DESCRIPTION - .RATE,. - EXTENSION=`- _=='=FEE - TOTAL,
29.15 TON DUTGO.MSW 0.000 0.00 0.00 0.00
Op days a wee �,� �, ,>' t a�.<.>, •
CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` 0.00
NEXT HOLIDAY: Memorial Day, Monday, May 28 '� Ejr I. TENDERED'.
CHANGE
CHECK NEI
SIGNATURE
TRINITY TRANSPORTATION CORPORATION
6 2 M Blydenburgh Road NO. 2424
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 }bfAli- I 0 LJSHIP DATE:
COMMODITY SHIPPED: M
LOOSE: J,i✓) (CU YDS)
BALES:(COUNT):
TRUCK WEIGHT: GROSS
TARE
c, NET
I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW.IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION-ACCORDING TO APPLICABLE REGULATION
ti -
GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNkT-URE)---
!,1 TRANSPORTER
TRANSPORTATION/FREIGHT CO. i
TRUCK NO. �r % LICENSE NO/STATE:
TRAILER NO. i ; LICENSE NO/STATE:
I HEREBY CERTIFY THAT THE'ABOVE NAMED-MATERIAL WAS P.ICKED-UP AT THE GENERATOR SITE'LIST�ABOVE, AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW
a '
i
DRIVER:
(PRINT NAME) (SIGNATURE)
DESTINATION
p � f`�, •�J 4
DISPOSAL LOCATION:,_ t 1A� I�'ti .� 1 t 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
TRINITY TRANSPORTATION CORPORATION
-:,,2 14 B lydenburgh Road
NO. 2423
Islandia, NY 11749 _
(631) 342-9673
THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS
BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS
COMPANY: U\k � ) () i 1 SHIP DATE: , I
COMMODITY SHIPPED: l
LOOSE: o {) (CU YDS)
BALES: (COUNT):
TRUCK WEIGHT: moi' '' ��� GROSS
TARE
�fb, l LJ NET
HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY
APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE-AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY
DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION.
GENERATOR AUTHORIZED AGENT(PRINT NAME) `�'-"� "�` (SIGNATURE) Y`""-
TRANSPORTER
TRANSPORTATION/FREIGHT CO.
1
TRUCK NO. 2- ;' LICENSE NO/STATE:
TRAILER NO. LICENSE NO/STATE:
1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED'UP AT THE GENERATOR SLISTED ABOVE,,AND THAT IT WAS
DELIVERED WITHOUT INCIDENT TO THE-DESTINATION LISTED BELOW.
DRIVER:
(PRINT NAME) 41` (SIGNATURE)
-_- -_-_---- --- -�=a==--== ------- �-_ -_ ------_---DESTINATION�'�,:: =-_--_ _--- -- ---- --- __a_
� 3 I
DISPOSAL LOCATION: t,° !1 ! ? fU �� DATE DELIVERED:
ADDRESS: r
s
I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED
IS TRUE AND ACCURATE:
RECEIVED BY:
AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE
KEY: WHITE TO DISPOSAL LOCATION
GREEN TO TRANSPORTER
YELLOW TO TRANSPORTER.
PINK TO GENERATOR
GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO