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HomeMy WebLinkAbout05/2018 TICKET _ GRID- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 31 01360510 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 =DATE IN =- `=DATE OUT _ -TIMEINi TIME OUT=_„`_,VEHICLE. ,_.,. ROLL OFF , 35/01/18 05/01/18 3:02 13:02 111 14T 009316 Town of Babylon REFERLNCE ORIGINT Scale 2 Gross Wt. 91360 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 50960 LB QTY - '_" ;"°UNIT",_ " " _' - = DES_CRIPTION " _ `=RATE' ERTEN_SIGN "FEE70_T_AL 5.48 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o a s a _ f:r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685`. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 _ TENDERED.° "F ` CHANGE CHECK NO:.A SIGNATURE SITE TICKET GRID, _ - ,WEIGHMAS ,TER SOUTHOLD TOWN DEPT SOLID WASTE 1 01360510 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;DATE IN,,, ..,DATE OUT :TIME IN TIME OUT ;VEHICLE ,,,` ROLI 5/01/18 05/01/18 13:02 13:02 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91360 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 50960 LB _ UNIT DESCRIPTION = - RATE'" „EXTENSION" FEE `_ - _"TOTAL QTY,,," 25.48 TON CUTGO.MSW 0.000 0.00 0.00 0.00 @ ACS �i - .f Operating hours 7:00 AM to 5:00 PM 7 days a wee t c • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. <> - Y:. - `J ,' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,., ;, ;;"; TENDERED_ - _ F -CHECK NO: ."` SIGNATURE NO. 2048 Y GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: L� v 1 U L~ l) i 1 }� SHIP DATE: � COMMODITY SHIPPED: I" "` VIJ f t LOOSE: 1 (CU YDS) BALES: (COUNT): .TRUCK WEIGHT: GROSS = TARE v- NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 1 r LICENSE NO/STATE: •%,%'� HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED'ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r DRIVER: (PRINT NAME) (SIGNATURE) -� DESTINATION,y DISPOSAL LOCATION: �/ � �� ! f DATE DELIVERED: ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. J y NO. 2044 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT'ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. I COMPANY: �A ) L r L j SHIP DATE: I ) I COMMODITY SHIPPED: c- }J LOOSE: 0 (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 PAR•T-26.1,OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r i /`� r TRUCK NO. LICENSE NO/STATE: TRAILER NO. G 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. r DRIVER: ` (PRINT NAME) (SIGNATURE) r,,m• DESTINATION r. v DISPOSAL LOCATION: Mlj � {�- ' v `\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. s NO. 2047 f . GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. j COMPANY: fu LA SHIP DATE: �- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE j - NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CER PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION F GENERATOR AUTHORIZED AGENT(PRINT NAME), r P '" (SIGNATURE) �- TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. r%=- LICENSE NO/STATE: TRAILER NO. ! a LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE-LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) j ,• (SIGNATURE) ,r f DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: 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 I TICKET GRID , - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE D1 01360871 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 - DATE IN- DATE OUT - TIME IN,TIME OUP VEHICLE ROLL OFF,_- 5/02/18 5/02/18 4:19 4:19 11114TC 009316 Town of Babylon r REFERENCE •� Scale 2 Gross Wt. 92200 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Npt Wpiaht 55980 LB QTY. _ UNIT- DESCRIPTION = RATE EXTENSION FEE TOTAL 27.99 TON CUTGO.MSW 0.000 0.00 0.00 0.00 7, Operating hours 7:00 AM to 5:00 PM 7 days a week.-, ` <�X Lw - ' C • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,= 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 " .��� .t`'_ ¢ y " t eve TENDERED ,,CHANGE CHECK NO _ SIGNATURE SITE TICKET'. 'GRID WEIGHMASTER." SOUTHOLD TOWN DEPT SOLID WASTE 1 01360871 Steph PO Box 962/6155 Cox Lane DATE ini _DATE our TIME IN TIME OU7 VEHICLE, j ROLLOFF Cutchogue, NY 11935 5/02/18 5/02/18 4:19 4:19 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 92200 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB (QTY;' U DESCRIPTIONL11 RATE EXTENSION FEE TOTAL 7,99 TON QUTGO.MSW 0.000 0.00 0.00 0.00 Yt 'R7 7 x dIIIIIIIIIII111=1"01 Operating hours 7:00 AM to 5:00 PM 7 days a week.E .°-; °k ~� �::` n on CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. F� TENDERED- NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE C E KNO. SIGNATURE NO. 2051 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT AISUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f COMPANY: t u t 1; SHIP DATE: t `1 COMMODITY SHIPPED: �1 LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE-L-IQUID 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,ANDdS IN PROPER CONDITION FOR TRA�N�-S-P'OR�TATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) s' TRANSPORTER TRANSPORTATION/FREIGHT CO. � l J TRUCK NO. LICENSE NO/STATE: TRAILER NO. l 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) f' DESTINATION DISPOSAL LOCATION: Il, , . J ; \I ; /DATE DELIVERED: 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. :a. NO. 2050 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 1_ �� SHIP DATE: COMMODITY SHIPPED: - s LOOSE: o U (CU YDS) BALES: (COUNT): , TRUCK WEIGHT: �'} t> ) GROSS L.j l! TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR—PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION-FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. 0 j LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: >` (PRINT NAME) �� (SIGNATURE) ? DESTINATION DISPOSAL LOCATION: ( !/ V c L V 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 s TICKET GRID _ •WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 1 01360693 Steph PO Box 962/6155 Cox Lane - - - Cutchogue, NY 11935 DATE,IN DATE OUT; , „TIME IN TItvIE OUT a r VEHICLE.' ROLL OFF.4` 5/02/18 5/02/18 8:53 8:53 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 89360 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 50660 LB QTY - UNIT — DESCRIPTION` RATE EXTENSION FEE` = TOTAL 5.33 TON QUTGO.MSW 0.000 0.00 0.00 0.00 t L 3 sr J Operating hours 7:00 AM to 5:00 PM 7 days a week.L ;` `w ` LL Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7fi85. ' �'` - 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 � 14, ' "" TENDERED=— �„X C 1� CHANGE �. CHECKNO. SIGNATURE **DUPLICATE TICKET" SITE I' TICKET--- " GRID_--" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 31 01360693 Steph PO BOX 962/6155 COX Lane >y r DA_TE'IN "' ;'.DAAbUT; „TIME IN, 7INIE,OUT r ,°a VEHICLE;-."4-%;,y ROI L,OFF" Cutchogue, NY 11935 5/02/18 05/02/18 8:53 8:53 111 14T 009316 Town of Babylon •. Scale 2 Gross Wt. 89360 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB F-- QTY UN = DESCRIPTION_ `` RATE EXTENSION`_ FEE ,. ITOTANC25.33 TON UTGO.MSW 0.000 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. 00 ",TENDERED:.,'-,3 NEXT HOLIDAY: Memorial Day, Monday, May 28 ^rHAN E"— 'CHECKN -. SIGNATURE NO. 2049 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT, SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: -z COMMODITY SHIPPED: ; I 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER _ TRANSPORTATION/FREIGHT CO. TRUCK NO. r LICENSE NO/STATE: TRAILER NO. 0'J " LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: ~ r (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: � ;/� ��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. "DUPLICATE TICKET"' SITE GRID" __ WEt_GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01361163 Pat H PE)-Box-962/6155 COX Lane K_DATE IN DATE OUT'- -TIME INI TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 5/03/18 5/03/18 3:49 L3.49 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 85100 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net eiaht 48880 LB QTY " ' ""UN17 „- °° '"„"'. _ " A,. <DESCRIPTION, RATE" EXTENSION- '° FEE:''_ TOTAL TOTAL] 4.44 TON UTGO.MSW 0.000 0.00 0.00 0.00 clv w.[ `` g ?.c •„tie :`"�......�.- � • • Operating hours 7:00 AM to 5:00 PM 7 days a week.*�A ��..}`,_;:�•_ __...-�'`..' ��- ' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. °r ', NEXT HOLIDAY: Memorial Day, Monday, May 28 J,� ' "I,p TENDERED.'?' t CHECNO: ^- SIGNATURE "DUPLICATE TICKET** saTE TicKET= "": GRED ' wEiGHr�IASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01361163 Pat H PO BOX 962/6155 COX LanePATE IN` DATE_OUT `=`TI'ME IN_ TIME O_UT -VEHICLE---- '-_ROLL OFF' ' Cutchogue, NY 11935 5/03/18 5/03/18 3:49 3:49 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 85100 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net AlpiclInt EXTENSION' ;'!A'h _,F :-,`,,TOTAL d`, 4.44 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. TENDERED;` NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE,',, CHECK NO: " SIGNATURE NO. 2054 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT`SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. } COMPANY: L i .- I r j i } `- 7 SHIP DATE: 1 s COMMODITY SHIPPED:' �V'v LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t` ° ' GROSS TARE ` � % NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIOUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER f TRANSPORTATION/FREIGHT CO. ` I TRUCK NO. (%�-1 LICENSE NO/STATE: TRAILER NO. J �� i LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: �_ !, ,A 'rr�" I ' 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 ;T1CKET GRID. 1NtGHMA57ER;"-'` SOUTHOLD TOWN DEPT SOLID WASTE 1 01361083 Liz H PO Box 962/6155 Cox Lane paT>'tri-° t�ArtFouT TINTS tN '1"ItittEOUT ,' vet�icLe'_ R*Off Cutchogue, NY 11935 5/03/18 5/03/18 1:09 1:09 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 78420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 38020 LB 4TY. ` -_ UNIT. DESCRIPTIQN= RATI EXTENSION FEE -'.- _ TOTAL',,; 9.01 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED. CHECK N '- SIGNATURE St1 E t ICtcET GRID`. wEldIAMASTER. SOUTHOLD TOWN DEPT SOLID WASTE A 01361083 Liz H PO Box 962/6155 Cox Lane DATFIN DATEOUT, 'W1 EIN TIM9 06,ivEHIcrE`„ RQLLOFF Cutchogue, NY 11935 5/03/18 5/03/18 1:09 1:09 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 78420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Khat Alainhf IR - OTY. U ;DESCRIPTION - -RATE -EXTENSION', FEE _TOTAL 19.01 TON OUTGO.CON ST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. ' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 .-"..TENDERED-, CHANGE-= . tCHEC NO: SIGNATURE NO. 2053 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: 1 V ) +'P" SHIP DATE: ,. / COMMODITY SHIPPED: #c- - 1 + LOOSE: ! o u (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS L L f TARE d �.% NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER f� I TRANSPORTATION/FREIGHT CO. TRUCK NO. -pp - -� LICENSE NO/STATE: TRAILER NO. d Gl LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: '�• r-' (PRINT NAME) ' (SIGNATURE) _ fe DESTINATION DISPOSAL LOCATION: ,� f �J d/ Iv c"i DATE DELIVERED:_ ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET" - GRID VVEIGHMAS'fEI � ' SOUTHOLD TOWN DEPT SOLID WASTE A 01360995 Liz H PO BOX 962/6155 COX Lane DATE IN ' DATE OUT;. _TIME;II�I 70E"OUT VEHICLE_ ROLL OW, Cutchogue, NY 11935 5/03/18 5/03/18 8:41 8:41 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill •_ IGIN Farmingville NY 11738 Scale 2 Gross Wt. 57180 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB NetWei ht 21240 LB QTY U,NIT'_ ., . „ DESCRIPTION, RATE :EXTENSION= -;"' z--.FEE. "_'.'TOTAL 10.62 TON Single Stream Recycl 15.000 159.30 0.00 159.30 Operating hours 7:00 AM to 5:00 PM 7 days a week.' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 159.30 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHECK O: SIGNATURE SITETICKET GRtD WEIGH'ki STER', SOUTHOLD TOWN DEPT SOLID WASTE Di 01360995 Liz H PO BOX 962/6155 COX Lane PATE IN DATE'OU,T TIME IN TIME OUT' -, VEk "E ROLL OFE ' Cutchogue, NY 11935 - 5/03/18 5/03/18 8:41 8:41 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmmgville NY 11738 Scale 2 Gross Wt. 57180 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Khaf Alsainint 9194() IR QTY `, UN - DESGRtPT10N.,` '-RATE -`'EXTENSION FEE.` .' TOTAL " 10.62 TON Single Stream Recycl 15.000 159.30 0.00 159.30 t Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -..;159.30 ; = NEXT HOLIDAY: Memorial Day, Monday, May 28 - TENDERED;._ -SCHANGE ,CHEC ' SIGNATURE NO. 2052 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. f COMPANY: D L f (•t L 1, SHIP DATE: COMMODITY SHIPPED: LOOSE: d(CU YDS) BALES: (COUNT): TRUCK WEIGHT: sj o 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 A _ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2-5 LICENSE NO/STATE: TRAILER NO. 11 .15 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: ..� (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: `'� �`� DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" (SITE-__ TICKET___`_ _ _'GRID WEIGHNIASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01361281 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE)N DATE OUT '_TIMEIN TIME OUT VEHICLE'.; ROLL OFF' 5/04/18 05/04/18 8:47 8:47 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERLNCE Farmingville NY 11738 Scale 2 Gross Wt. 63300 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 22900 LB F n .,=' r,• UNfT ;r EEE ,%'s*: TOTAL' bESGRIPTION RATE' EXTEN3tON` 11.45 TON Single Stream Recycl 15.000 171.75 0.00 171.75 P r Operating hours 7:00 AM to :00 PIVI 7 days a wee .,', - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. . _ 171.75 NEXT HOLIDAY: Memorial Day, Monday, May 28 ;; _ TENDERED d - CHANGE 'CHECK NO. SIGNATURE "*DUPLICATE TICKET" sITE TICKET ' GRID, °y, - ii1NE1GNMASTER >r,77 SOUTHOLD TOWN DEPT SOLID WASTE 01 01361281 Liz H PO Box 962/6155 Cox Lane bATE"OUT,;.,,,TIME IN TIME OUT VEHICLE r ;,ROCt'OFF DATE1N; Cutchogue, NY 11935 5/04/18 5/04/18 8:47 8:47 1111, 009306 Town of Brookhaven Waste Manag REFERENCE _ One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 63300 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 22900 LB : . QTY. UNIT- - _. DESCRIPTION RATE EXTENSION = FEE TOTAL 11.45 TON Single Stream Recycl 15.000 171.75 0.00 171.75 } 1 Operating hours 7:00 AM to 5:00 PM 7 days a week. :- - r�` • CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-7k85. ','-%"' 171.75 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED ` au CHANGE CHECK NO. SIGNATURE "*DUPLICATE TICKET" >SITE__ TICKET y:` GRID wEIGHMASTER f_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01361359 Liz H PO Box 962/6155 Cox Lane _ - ; DATEkIN. DATE.OUT, TIME 1N, TIME OUT VEHICLE j„ ROLLOFF Cutchogue, NY 11935 05/04/18 05/04/18 11:18 11:18 11114T 009306 Town of Brookhaven Waste ManagREFERENCE O. IGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 70480 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY._=_ UNIT, DESCRIPTION,; _ RATE EXTENSION FEE-'-- TOTAL 17.13 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. dIIIIIIII121241111W• CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE, CHEC w N0: SIGNATURE SITE I TICKET I -_ ' GRID WEIGHMASTER:1 "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01361359 Liz H PO Box 962/6155 Cox Lane DATEdN - bATE60T„": TIME IN''TIME OUT %:VEHICLE' ROL 'OFF, Cutchogue, NY 11935 05/04/18 05/04/18 11:18 11:1811114TC 009306 Town of Brookhaven Waste Manag �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 70480 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY = U '_ DE RIPTIO - RATE EXTENSION -FEE TOTAL«__ 17.13 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 m t i; l Operating hours 7:00 AM to 5:00 PM 7 days a week.`; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_ ERED NEXT HOLIDAY: Memorial Day, Monday, May 28 x:. HA GE' C ECWNW SIGNATURE SITE -'TICKq J1 '_GRID +WEIGHMASTER,°.,._=. ""DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 011 01361440 Liz H PO BOX 962/6155 COX Lane - E-IN x'= DATEOUT' TIME IN'113:49 TIME OUT' = VEHICLE `< ROLL OFF . Cutchogue, NY 11935 5/04/18 05/04/18 3:49 111 14T 009316 Town of Babylon ORIGINREFERLNCE Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Npt Weiaht 45780 LB QTY.'""' = UNIT "`""_ DESCRIPTION' IRATE " EXTENSION_ti FEEa_;"'" TOTAL` "a 2289 TON 0UTGO.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- 685 . - ' ,, — r!. f 0.00 PI NEXT HOLIDAY: Memorial Day, Monday, May 28 r° TENDERED - CHECK NO--- SIGNATURE SITE ='TICKET GRVD wEIGNMASTER' "*DUPLICATE TICKET" ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01361440 Liz H PO BOX 962/6155 COX Lane DdE,W DATE OUT IME IN' TIME OUT VEHICLE T ROLL OFF Cutchogue, NY 11935 05/04/18 05/04/18 13:49 113:49 111 14T 009316 Town of Babylon REFERENCEORIGIN Scale 2 Gross Wt. 86180 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB CITY `.,°`r,,' ,UN _ DESCRIP,TION,, RATE_-_ EXTENSION- FEE, „TOTAL`- 22.89 TON UTGO.MSW 0.000 0.00 0.00 0.00 `} �, art ,1,• - 1i� °'c> e. �V 3 Operating hours 7:00 AM to 5:00 PM 7 days a week.\-,,' Amu, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'- NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE = --CHECK SIGNATURE T NO. 2058 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. { COMPANY: } IJ1.i "� �i ( SHIP DATE: > COMMODITY SHIPPED: 1`� 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 TQ APPLICABLE REGULATION. ' 3, GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) .TRANSPORTER A TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) .,;;(SIGNATURE) DESTINATION Ji f DISPOSAL LOCATION: i / I %/ � a 0-- / `�DAtTE DELIVERED: ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SIT,E ;vTICKET .>' =WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 01361597 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,DATE OUT - TIME IN TIMEOUT„_ VEHICLE _ ROLLOFF 05/05/18 05/05/18 08:31 08:31 11107TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 51000 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 15060 LB ;UNIT "DESCRIPTION .'RATE EXTENSION:` FEE.- TOTAL 7.53 TON Single Stream Recycl 15.000 112.95 0.00 112.95 jI Operating hours 7:00 AM to 5:00 PM 7 days a week. VA Loll, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 112.95 NEXT HOLIDAY: Memorial Day, Monday, May 28 :_,'TENDERW CHANGE SIGNATURE CHECK NO., **DUPLICATE TICKET** SITE r ,TICKETu GRID "wEGHMASTER - — SOUTHOLD TOWN DEPT SOLID WASTE 01 01361597 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE`IN =' =<DATE OUT TIMEiN TIME OUT VEHICLE''` ROLL`OFF' 05/05/18 05/05/18 08:31 08:31 11 107T 009306 Town of Brookhaven Waste Manag � One Independence Hill REFERENCE - Farmingville NY 11738 Scale 2 Gross Wt. 51000 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net We'aht 1500 LB QTY r UNIT-, 'DESCRIPTION- RATE-. EXTENSION FEE TOTALn; 7.53 TON 3ingle Stream Recycl 15.000 112.95 0.00 112.95 Operating hours 7:00 AM to 5:00 PM 7 days a week. __ _ - '' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :'_ ;< "Q` NEXT HOLIDAY: Memorial Day, Monday, May 28 =TENDERED CHANGE-r` -CHECK NO. SIGNATURE $ITE -TICKET s,` _ GRID - WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01361635 Steph PO BOX 962/6155 COX LaneDATE IN ,DATE OUT, TIME IN T,_ E O_UT „ VEHICLE _ ROLL OFF Cutchogue, NY 11935 05/05/18 05/05/18 09:34 09:34 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB QTY UNtT "'° "DESCRIPTION_' 'RATE' EXTENSION ='FEE TOTAL-' 25.01 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. n an NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED,,`,',,, CHANGE , CHECK NO __. SIGNATURE _-- SOUTHOLD TOWN DEPT SOLID WASTE 01 01361635 Steph - PO Box 962/6155 Cox Lane DATE IN' w t-DATE OUT ", TiMEaTI N ME"-OUT VEHICLE "` ROLL OFFr',_ Cutchogue, NY 11935 05/05/18 105/05/18 09:34 09:34 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88720 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB QTY,: "•.,. yUN a=,DESCRIPTION „` _ '_, RATE EXTENSION _ .F,EE. TOTAL 25.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ly Operating hours 7:00 AM to 5:00 PM 7 days a week.' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '- r0 no TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE -."C ECKNO: SIGNATURE ""DUPLICATE TICKET*" SITE jT1CKE-r ; =i GRID__ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362465 Steph PO Box 962/6155 Cox Lane -- Cutchogue, NY 11935 `DATE IN = DATE OUT -TIME IN TIME OUT VEHICLE ROLL OFF 05/07/18 05/07/18 13:03 13:03 11114T 009316 Town of Babylon ORIGINREFEREOCE i Scale 2 Gross Wt. 92980 LB Outbound-Charge ticket I Manual Tare Wt. 38700 LB 1 Net Wei ht 54280 LB :I QTY, "° ' "UNIT; = DESCRIP_TfON a-' RATE _ `EXTENSION'_ -" _FEE " -, -TOTAL' 27.14 TON DUTGO.MSW 0.000 0.00 0.00 0.00 i Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED_, _,—CHANGE +. ?CHECK,NO. i I SIGNATURE 1 **DUPLICATE TICKET" sIT_E TicKeT -`._' '` GRID'' " '- wE1GHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362465 Steph PO Box 962/6155 Cox Lane BATE IN DATE OUT TIME IN TIME OU_T VEHICLE ROLLOFF Cutchogue, NY 11935 - I 05/07/18 05/07/18 13:03 13:03 11114T II 009316 Town of Babylon REFERENCE - I 1 Scale 2 Gross Wt. 92980 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB 'ypQTY, UNIT DESCRIPTION R7aTE„i”" EXTENSION:'' r FEE':'s: r TOTAL 27.14 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. 0 no NEXT HOLIDAY: Memorial Day, Monday, May 28 -Zor, TENDERED',- Ps_CH NGE­N � " SIGNATURE fF` SITE $';,,TICKET :- ,. GRID WEIGHMASTER,, ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01362391 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN ",DATE OUT TIME IN_lIMEOUT _` VEHICLE ROLL OFF _ 05/07/18 05/07/18 10:16 10:16 111 14T 009306 Town of Brookhaven Waste ManagREFERENCE _ One Independence Hill • -� Farmingville NY 11738 -�` Scale 2 Gross Wt. 58880 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB � Net Weight 18480 LB UNIT`, _ DESCRIPTION„` RATE kEXTENSION, FEE T„OTAL- 9.24 TON Single Stream Recycl 15.000 138.60 0.00 138.60 71, _a b Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 138.60 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,TENDERED 3_. r CHANGE,. CHECK NO';^' _:, SIGNATURE - - - 'SITETICKET"' " 'GRID 'm'°^ WEIGHMASTER,” -- = SOUTHOLD TOWN DEPT SOLID WASTE 01 01362391 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE tN DATE OUT TIME IN,TIME OUT VEHICLE. ROLLOFF r 05/07/18 05/07/18 10:16 10:16 111 14T { 009306 Town of Brookhaven Waste ManagREFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58880 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 18480 LB QTY_.` UNIT _ DESCRIPTION”- ;- RATE EXTENSION' FEE.,-„ 'TOTAL 9.24 TON Single Stream Recycl 15.000 138.60 0.00 138.60 _A Operating hours 7:00 AM to 5:00 PM 7 days a week. , ;Y • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768.5. _- 138.60 ,NEXT HOLIDAY: Memorial Day, Monday, May 28 - • � ,��� , - ,, -` TENDERED,-,t `-' CHECK N� SIGNATURE *"DUPLICATE TICKET" 51TE - rT1,CKET' GRID•,,;,`', `' t VEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362332 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN; ,=DATE OU ', -TIME IN=TIME'OUT z VEHICLE^ =ROLL'OFF 05/07/18 05/07/18 07:20 07:20 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 59140 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 18740 LB QTY. `UNIT-, DESCRIPTION_ RATE _ - EXTENSION;, =_ FEE TOTAL" ' 9.37 TON Single Stream Recycl 15.000 140.55 0.00 140.55 Opvi atli ig 1 maj 3 7.00 AM to 5.00 PIVI 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 140.55 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,TENDERED . ' =CHANGE" .CH CK O.. SIGNATURE !*"DUPLICATE TICKET" (§ITE TICKET - GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362332 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DA - ATE OUT ; TIME IN TIME OUT %.VEHICLE„" , - -',.ROLL OFF , 05/07/18 05/07/18 07:20 07:20 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59140 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 18740 LB 7 QTY " ';- ' UNIT'''" " :DESCRIPTION" '-`RATE`' EXCENSION "FEE e TOTAL, 9.37 TON Single Stream Recycl 15.000 140.55 0.00 140.55 rIi , Opera Ing ours odays a weeK. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 140.55 NEXT HOLIDAY: Memorial Day, Monday, May 28 = ,TENDERED CHANGE, CHEC NO.9 SIGNATURE J NO. 2060 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTISSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: j" 0 �� i 1, l o i-- �i SHIP DATE: "� � r � COMMODITY SHIPPED: 5 ls 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 TQ APPLICABLE REGULATION i GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) . TRANSPORTER TRANSPORTATION/FREIGHT CO. t� ! TRUCK NO. LICENSE NO/STATE: TRAILER NO. I �I LICENSE NO/STATE: I 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. 3 DRIVER: �. '. (PRINT NAME) (SIGNATURE) DESTINATION c� DISPOSAL LOCATION: ' L' (' k' ? 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 _ .,TlGKE7''• _ ;GRID ` WEIGHMASTER'4"r SOUTHOLD TOWN DEPT SOLID WASTE 01 01362784 Steph PO Box 962/6155 Cox Lane - - QATE IN-2 "DATEOUT TIME IN TfN1E0UT VEHICLE "ROLLOFF Cutchogue, NY 11935 - - - - - 05/08/18 05/08/18 13:52 13:52 1111 14T 009316 Town of Babylon REFERENCE 0. Scale 2 Gross Wt. 89940 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Wei ht 50800 LB QTY.`='' UNIT' ' ' 'DESCRIPTION RATE`"- ' EXTENSION"r' FEE TOTAL'' 25.40 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. _ . 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 °,� ' -TENDERED' CHANGE' '.' -CHECK NO. SIGNATURE SITE TICKET G91" yWEIGHMA$7ER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362784 Steph PO BOX 962/6155 COX Lane - __ - — ---- --- pATE IN' DATE OUT TIME IN' TIME,6 UT '- :VEHICLE, = ROLL OFF, Cutchogue, NY 11935 „-:,., „ 05/08/18 05/08/18 13:52 13:52 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 89940 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB s ,QTY. -,,,,UNIT, _ `DESCRIPTION'; <.,=RATE 3, ,,;,, ;EXTENSION;. FEE - -TOTAL-. 25.40 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.-, n nn NEXT HOLIDAY: Memorial Day, Monday, May 28 `TENDERED -, CHANGE "r.CHEC INO.` SIGNATURE NO. 0. 2065 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: }�' �'� 1 �`� L Z-{J\ SHIP DATE: COMMODITY SHIPPED: LOOSE: ` (CU YDS) BALES: (COUNT): < <r TRUCK WEIGHT: t ' "� GROSS TARE ')V NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -' (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. ) '� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP-AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) " (SIGNATURE) DESTINATION I13/� � DISPOSAL LOCATION. DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED, IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET* =SITE " ' TfC}CET Y- '' : 'GRIP _ = wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362722 Steph PO BOX 962/6155 COX Lane DATE IN,,;, -,DATE OUT „TIME 1N TIME OUT ' VEHICLE :ROLL OFF, Cutchogue, NY 11935 05/08/18 05/08/18 11:30 11:30 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 59240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 18840 LB Q7Y UNIT „ = = DESCRIPTION`, _ RATE EXTENSION.; FEE TOTAL,`-, 9.42 TON Single Stream Recycl 15.000 141.30 0.00 141.30 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 141.30 NEXT HOLIDAY: Memorial Day, Monday, May 28 =-.-.TENDERED CHECK NO. SIGNATURE **DUPLICATE TICKET** -- - -SITE, Ttc[zET GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362722 Steph _ PO Box 962/6155 Cox Lane DATE'IN e =DATE•OU7- _TIME"'IN'TIME OUT _'VEWICLE ROLLOFF Cutchogue, NY 11935 05/08/18 05/08/18 11:30 11:30 11 114T 009306 Town of Brookhaven Waste Manag •REFERENCE - One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Wt-inht la TY' - UNfT ""W_ bESCRIPTtON'. " RATE EXTENSION"'_C FEE",'" _ "TOTAL 9.42 TON Single Stream Recycl 15.000 141.30 0.00 141.30 Operating hours 7:00 AM to 5:00 PM 7 days a week. , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 141- NEXT HOLIDAY: Memorial Day, Monday, May 28 = TENDERED CHECK NO ' SIGNATURE s, NO. 2064 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ! COMPANY: ✓ ' l '� 1 J SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: '' ` P -' 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 ~i GENERATOR AUTHORIZED AGENT(PRINT NAME) r! -(SIGNATURE) ,TRANSPORTER r TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. � CI I LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED.ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: i (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ` ; 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. "DUPLICATE TICKET*" SITE TICKET: '' a GRID WEIGHMASTERr " "_'o SOUTHOLD TOWN DEPT SOLID WASTE 01 01362639 Steph PO Box 962/6155 Cox Lane -] Cutchogue, NY 11935 DATE IN - _=DATE_ LIT ' -TIME:IN,TIME OUT -VEHICLE ROLLOFF 0608/18 �' 05/08/18 08:33 08:33 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 =07 Scale 2 Gross Wt. 73420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 33020 LB QTY: 'UNIT DESCRIPTION ,RATE:- EXTENSION r,„ FEE 70TAt „.` 16.51 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours :0 toPM-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*' SITE T16 KETo GRiD' - wEI6HN1AslER SOUTHOLD TOWN DEPT SOLID WASTE 01 01362639 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATEOUT,, ,.TIME IN TIME OUT VEHICLE ROLL OFF. 05/08/18 05/08/18 08:33 08:33 11114TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 73420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 33020 LB QTY. ,, UNIT -> DESCRIPTION,- RATE.- „ EXTENSION _FEE =TOTAL' . 16.51 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. . • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5. - " 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 - - TENDERED= I CAGE CHECK SIGNATURE NO. 2063 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT-ASSUME`` ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ) V u� ) f t� �— 1 } `�' U' I SHIP DATE: � COMMODITY SHIPPED: LOOSE: i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: '<< GROSS TARE l NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANS PORT-ATTIION-ACCORDING-TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) ~ - _ '(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. J LICENSE NO/STATE: TRAILER NO. c.� } LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. y .g- 7 DRIVER: D (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: `�� `•` 11UMI � �— -Ai 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. vl- **DUPLICATE TICKET" sGfE I Tlci<Er :Ghia,` `'k -_ wEIGHMASTEe SOUTHOLD TOWN DEPT SOLID WASTE 01 01363060 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN . DATE OUT ' TIME-114- ME OUT VEHICLE ROLL OFF 05/09/18 05/09/18 12:54 12:54 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 93200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB _ __-_ Net Weight 52800 LB >4TY UNIT r DESCRIPTION '___ RATE_- EXTENSION = FEE NOTAL , 26.40 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 - - .TENDERED" - CHANGE '-CHECK NO.4 SIGNATURE "`DUPLICATE TICKET" --SITE I TICKET< `_ GRID v' WEIGHMASTER'. SOUTHOLD TOWN DEPT SOLID WASTE 01 01363060 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN "DATEOUT'''"' 'TIME IN TIME',OUT VEHICLE'" ROLLOFF''''.`~- 05/09/18 05/09/18 12:54 REFERENCE ORIGIN 12:54 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 93200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 52800 LB d I ,l ,r, r pi ,,:g r„ 1 N'%,;« E TOTAL 1 Ir QTY UNIT DESCRIPTION d¢ RATE EXTENS O ,ul 'FEE" 26.40 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �v t Op a s a ee r : CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ==TENDERED - `A CHA E CHECK NO:- - SIGNATURE NO. 2068 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: �� �l I.- �r { _ d ) SHIP DATE: 5 9 J s COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 4 V 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-2B1 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER _ __, t TRANSPORTATION/FREIGHT CO. TRUCK NO. - J LICENSE NO/STATE: TRAILER NO. } ) LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: � � :f f � �J`�%� ` DATE DELIVERED: ADDRESS: f / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET ' GRID, wE1GHv1ASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01362925 Steph PO Box 962/6155 Cox Lane _ ,- - - Cutchogue, NY 11935 DArE N " ;6ATE_ou r <. rtiwE It1 C7ME OU7 ; y��iteLi 05/09/18_ 05/09/18 08:33 08:33 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 77640 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 41700 LB QTY` UNIT. ''` -', DESCRIPTION., RATE- EXTENISION, FEE - TOTAL'. .. 20.85 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED',-. -CHANGE- °CHECK SIGNATURE SITE , "TICKET ' GRiD Wb HMASTER. , SOUTHOLD TOWN DEPT SOLID WASTE 01 01362925 Steph PO Box 962/6155 Cox Lane CUtChogue, NY 11935 DATE IN BATE OUT TIME IN' T1ME,OUT VEHICLE, . ROLLOFF 05/09/18 05/09/18 08:33 08:33 111 14T REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 77640 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei ht 41ZQQ OTY UNir DESGFtiPTION..,, f 4TE EXTENSION- FEE JOTAL 20.85 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. `=TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 _ j '---CHANGE , �G E - SIGNATURE NO. 2067 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 0 v 1-10 L l 1 SHIP DATE: t 1 COMMODITY SHIPPED: f 5vi i LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �; �� GROSS ="7 f1 �t c TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN,FREE LIQUID AS'•DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR-PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION`FOR TRANS PORTAZION-AGCORDING TQ-APPLICABLE REGULATION. - r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO._ TRUCK NO. 2--5 LICENSE NO/STATE: TRAILER NO. 1 I 5 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. f .•r DRIVER: (PRINT NAME) (SIGNATURE) .y /DESTINATION DISPOSAL LOCATION: I l"! I / / 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. **DUPLICATE TICKET** SITE T16k&___ - GRID WEIGHMASiER H SOUTHOLD TOWN DEPT SOLID WASTE 01 01363202 Liz H PO Box 962/6155 Cox Lane -- Cutchogue, NY 11935 DATE-w DATE OUT TIME IN TIME OUT ° ',VEHICLE ROLL OFF 05/10/18 05/10/18 08:37 08:37 11114TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 71940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 35720 LB QTY_ UNLT-'= DESCRIPTION _ RATE EXTENSION FEE _TOTAL 17.86 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Opera mg nours odays a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'- 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28I NDERED':,,' " CHANGE CHECKNO" ' SIGNATURE **DUPLICATE TICKET** SITE TICKET >_- GRib__ _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01363202 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN DATEOUTw "'TIMEItJ, TVMEOUT VEHICLE"' "ROLL-OFF 05/10/18 05/10/18 08:37 08:37 11114TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 71940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 35720 LB U77- J,QTY. „UI�l1T' a ; DESCRIE'TtOtV'„ ;'RATE EXTENSION, F&E;:, OTAL, 17.86 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 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 NGE',. `G ECK NO SIGNATURE i NO. 2066 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: U r L' �- � SHIP DATE: `liz. 1 1 Ci COMMODITY SHIPPED: LOOSE: �J U (CU YDS) BALES:-(COUNT): TRUCK WEIGHT: `"E L GROSS TARE t NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION tf of GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. U_ 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 DRIVER: c_ (PRINT NAME) (SIGNATURE) DESTINATION =` DISPOSAL LOCATION: r �j DATE DELIVERED: ADDRESS: 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"* SITE TICKET,__ GRID; x``< WEIGHMASTER _ SOUTHOLD TOWN DEPT SOLID WASTE 01 01363277 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME[N=TIME OUT VEHICLE =ROLL OFF, 05/10/18 05/10/18 11:35 11:35 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 43900 LB QTY._ UNIT_-u DESCRIPTION RATE ;. EXTENSION R =FEE TOTAL 21.95 TON OUTGORSW _ 0.000 0.00 0.00 0.00 Mau -11 OTA Loll] f Operating hours :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 ''GENDERED' '. -<-CHANGE '-CHECK NO., SIGNATURE "DUPLICATE TICKET" S}TE TICKET__`_; .. GRID WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01363277 Liz H PO Box 962/6155 Cox Lane DATE Ity"'" ._ DATE OUT,' "'TIME IN TIlV1E OUT VEHICLE„3 ROLLOFF{ Cutchogue, NY 11935 05/10/18 05/10/18 11:35 11:35 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 79840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei ht 43900 LB FEE ,QY 21.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 y 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 _ RTENDERED "fes` _ .CHECK`NO;.' SIGNATURE NO. 2070 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOTTAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT l!ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ho COMPANY: � ; ( U L- �� SHIP DATE: J 1 c! ( COMMODITY SHIPPED: tV\ J', }}'l LOOSE: / V (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS 14 TARE ZIit r~' r-:.-,) NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. Vr GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER r' TRANSPORTATION/FREIGHT CO. TRUCK NO. L/ICENSE NO/STATE: TRAILER NO. t -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: �'� V f ' " I 1 �� DATE DELIVERED: { / ADDRESS: i I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION-PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *DUPLICATE TICKET`* SITE -;'TICKET '_ GRID_ WEIGHMASTER 'SOUTHOLD TOWN DEPT SOLID WASTE 01 01363450 Liz H PO Box 962/6155 Cox Lane DATE IN -,DATE OUT TIME IN TIME Cutchogue, NY 11935 our' vEHIc�E_' 05/11/18 05/11/18 09:01 09:01 [��:14:`TC::: 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCEORIGIN j Farmingville NY 11738 Scale 2 Gross Wt. 62900 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 22500 LB QTY T UNIj- <__;DESCRIPTION:.= a RATE EXTENS►ON _ ;FEE TOTAL 11.25 TON Single Stream Recycl 15.000 168.75 0.00 168.75 Op o mdo FIVi 7 days a weeK. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 168.75 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED`-°`- CH NGE CH CK-NO. SIGNATURE "DUPLICATE TICKET*" sliE rICK�T',, bhID »,~ wElGkinaAsrei ,SOUTHOLD TOWN DEPT SOLID WASTE 01 01363450 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;D&E-IN. `-_DATE OUT . TIME IN.TIME OUT VEHICLE _ROLL-OFF 05/11/18 05/11/18 09:01 09:01 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 62900 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 22500 LB C]7 Y ;n =UNIT" DESCRIPTION, "»e RATE` EXTENSION;;^, . ;FEE' NOTAL 11.25 TON Single Stream Recycl 15.000 168.75 0.00 168.75 r: Op o ays a wee . _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 168.75 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE- tCHECK'NO: L�J SIGNATURE NO. 2071 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: OLA � O(� Ln SHIP DATE: COMMODITY SHIPPED: ke LOOSE: L' ` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: c �� c5D GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. L TRUCK NO. LICENSE NO/STATE: TRAILER NO. � LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. v' DRIVER: (PRINT NAME) (SIGNATURE) /DESTINATION DISPOSAL LOCATION: �' ;' y 1� DATE DELIVERED. _ ADDRESS: f I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITE ,�`�4!CKET GRID WEIGHMA$TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01363506 Liz H PO BOX 962/6155 COX Lane DATE IN- DATE'OUT 'TIME IN TIME OUT' 'VEHICL E= ROLLOFF" _ Cutchogue, NY 11935 05/11/18 05/11/18 11:34 11:34 111 14T REFERENCE 009316 Town of Babylon O. IdIIN Scale 2 Gross Wt. 89820 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 53600 LB :,4TY ,. - .,UNIS` DESCRIPTION _` RATE,; :-_EXTENSION`, -FEE- TOTALI 26.80 - 26.80 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED - 'CHANGE CHECK NO ° SIGNATURE **DUPLICATE TICKET** SITE TICKET,,`_ GRID ,WEIGHMASTER, ;M1, SOUTHOLD TOWN DEPT SOLID WASTE 01 01363506 Liz H PO Box 962/6155 Cox Lane _ ;DATE IN ;DATE OUT ,TIME IN TIME OUT-_ VEHICLE- =ROLL OFF _ Cutchogue, NY 11935 05/11/18 05/11/18 1ICE 1:34 11:34 11114TC 009316 Town of Babylon REFERENCE 0. Scale 2 Gross Wt. 89820 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY'. e _UNIT "° DESCRIP7fON <'"''''' RATE. EXTENSION' FEE` TOTAL 26.80 TON OUTGO.MSW 0.000 0.00 0.00 0.00 34Y Operating hours 7:00 AM to 5:00 PM 7 days a week. . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. NEXT HOLIDAY: Memorial Day, Monday, May 28 TEN°ERE° HANGE •- ,C'E KN SIGNATURE NO. 2072 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 0 U 1 UljSHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER / t I / TRANSPORTATION/FREIGHT CO. !`� (' U l TRUCK NO. LICENSE NO/STATE: TRAILER NO. / d LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. j DRIVER: (PRINT NAME) �.� (SIGNATURE) DESTINATION DISPOSAL LOCATION: � �� ! /� 1 �;,`� /� DATE DELIVERED: ✓ ADDRESS: t 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. NO. 2073 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MA ERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: LAT�10' � I� SHIP DATE: � 1 2 'Z' COMMODITY SHIPPED: ) III-:, \13 o� LOOSE: a (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �3'' '•) GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER AA 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. f /I DRIVER: (PRINT NAME) �r' (SIGNATURE) f DESTINATION ; + DISPOSAL LOCATION: DATE DELIVERED: v f ADDRESS: 7 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. f SITE - TIQKET = GRID= WEIGHN S' SOUTHOLD TOWN DEPT SOLID WASTE 01 01363709 Steph PO Box 962/6155 Cox Lane -641- Cutchogue, NY 11935 -DATE IN `DATE OUT TIME'IN-TIME OUT VEHICLE;' t ROLL OFF`:='' 05/12/18 05/12/18 07:34 07:34 11114TC 009316 Town of Babylon REFERENCE - ORIGIN Scale 2 Gross Wt. 89220 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 48820 LB QTY UNIT, ",DESCRIPTION`_ _:, _ RATE EXTENSION -FEE: TOTAL 24.41 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ca Ll . : : Operating hours odays a wee �-,: � _> 8 _ -,; ,r 1R � rn • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685x '= 0.00 r._ at ..;��" NEXT HOLIDAY: Memorial Day, Monday, May 28 °� �j� =:;�� �:�`�v;.^ TENDERED CHA GE CHECK SIGNATURE SITE TICKET x ',^, GRID :.•;,,,,. ;;y,:- Wj iGNMASTERw,,, SOUTHOLD TOWN DEPT SOLID WASTE 01 01363709 Steph PO Box 962/6155 Cox Lane - -- Cutchogue, NY11935 DATEIN;, DATEOUT TIMEITIME OUT''. VEHICLE=, ROLLOFF 05/12/18 05/12/18 '07-34107:34 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89220 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 48820 LB "' ',UNIT' , %"" :'DESCRIPTION'= ,' ';RATE';°'° EXTENSION.'^ FEE OTAL,, 24.41 TON OUTGO.MSW 0.000 0.00 0.00 000 f i 9 , n Opera mg hours to 5:00 PM 7 days a week , e ` ' i'� ✓ °`-Z • F�,-°.,_ •.,.' - ../ mea, �'"°� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: -_ _ .1 00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ._ r'. _ TENDERED; w; 'ice-CH GEV6 -vu SIGNATURE NO. 2069 GENERATOR THIS MANIFEST IS FOR REFEREi L E PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT,ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t COMPANY: SHIP DATE: 1 ' COMMODITY SHIPPED: P-1 LOOSE: U t (CU YDS) BALES: (COUNT): -� c TRUCK WEIGHT: J GROSS TARE 0 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �r DRIVER: ' } ' „- (PRINT NAME) r" (SIGNATURE) K�ESTINATION DISPOSAL LOCATION: �% ' 1 ' '` t+,f 11 'I �✓ ' DATE DELIVERED: j ` ' - 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. SOUTHOLD TOWN DEPT SOLID WASTE 01 01364305 Steph PO Box 962/6155 Cox Lane 1�1 ToN, DATE,_ v,v Cutchogue, NY 11935 JIME ROLLOFF 05/14/18 1 05/14/18 11:23 11:23 1111 4TC 009316 Town of Babylon REFERENCE ORI GIN Scale 2 Gross Wt. 90500 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 50100 LB , 4— ':�, - - _1VZXTENSION"-; -­�FEE" TOTAL_ UNIT�'U, -DESCRIPMON, -', 'RATE,, 25.05 TON OUTGO.MSW 0.000 0.00 0.00 0.00 to 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 SIGNATURE SITE ��` TICKET - GRIP, MASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01364305 Steph PO Box 962/6155 Cox Lane DATE-IR DPT OUT TWE IN. TIMI OUT Cutchogue, NY 11935 _YEHIOLE,,,,= RqU-9, 05/14/18 05/14/18 111:23 111:23 1 11114TC I 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 90500 LB Outbound-Charge ticket Manual anual Tare Wt. 40400 LB Weiaht 5QjnQ IR QTY. TOTAL ITY UNIT, DESCRIPTION RATE -EXTENSION- -FEE 25.05 TON DUTGO.MSW 0.000 0.00 0.00 0.00 1A) 'A Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 NEXT HOLIDAY: Memorial Day, Monday, May 28 77�fENDEREDKWW 747�,NOHANGE 177v_­,CHEQKNO2 SIGNATURE NO. 2075 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 0 C I l' C) L SHIP DATE: COMMODITY SHIPPED: /" t '5/ 1 LOOSE: o (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS U TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION . L GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER j f J 3 TRANSPORTATION/FREIGHT CO. Uf\--I A f / TRUCK NO. LICENSE NO/STATE: TRAILER NO. G1 } LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. J f DRIVER: (PRINT NAME) _ ((SIGNATURE) J DESTINATION� DISPOSAL LOCATION: }VA `/ \ �1 LU �} DATE DELIVERED: ADDRESS: 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. SITE TtCKET'Y,=` 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01364250 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN-; DATEOOT :'TIMI=iN'YIMEQOT W" ,.iVEHICCE , ROLL QFF'' 05/14/18 05/14/18 08:59 [!8:59 11114T 009306 Town of Brookhaven Waste ManagREFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 63480 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 24780 LB r — QTY UNIT,`s- =:DESCRIPTION _ RATE`r, .,EXTENSION-FEE " TOTAL 12.39 TON Single Stream Recycl 15.000 185.85 0.00 185.85 .San y f'k Operating hours 7:00 AM to 5:00 PM 7 days a week.,, :g- • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,-„ _-_ ;? 185.85 NEXT HOLIDAY: Memorial Day, Monday, May 28 :R =` TENDERED 'CHANGE-'' ' .'CHECK NO. SIGNATURE SITE TICKET. `GRID„F,^ WEJGHMASTER ' ,`, ,,,i` SOUTHOLD TOWN DEPT SOLID WASTE 01 01364250 Steph PO Box 962/6155 Cox Lane DATE IN., OATEOUT TIME.IN,TIME OUT ' ,;VEHICLE. . `= ROLLOFF, Cutchogue, NY 11935 05/14/18 05/14/18 08:59 08:59 11114T 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 63480 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB QTY ei-Weiaht 24780 LB UNIT =. DESCRIP--TION RATE - EXTENSION-_' FEE TOTAL- 12.39 TON Single Stream Recycl 15.000 185.85 0.00 185.85 Aa4 ASS Operating hours 7:00 AM to 5:00 PM 7 days a week ,Wq'' ` -- °` °” • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.,'. r - _ 185.85 NEXT HOLIDAY: Memorial Day, Monday, May 28 3'�E''f;° :5 rt __ TENDERED CHANGE IIX - CHECK=NO. SIGNATURE NO. 2074 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT CASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: 3 COMMODITY SHIPPED: v LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 1�F"� ��� GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 O_R_ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. `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: J L� (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,1 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. NO. 2076 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: t ( - L 1 g SHIP DATE: is a� � COMMODITY SHIPPED: C.0 LOOSE: b 0 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: - - GROSS 8 ( TARE { NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE'L'IQUID 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 A,CORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER � r TRANSPORTATION/FREIGHT CO. � ,��J' TRUCK NO. L/ICENSE NO/STATE: d TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. yl J pry DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: / 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. ""'`DUPLICATE TICKET`" 'S1TE TICKET4`==,�,;° GRID _ WEIGHMASTERi SOUTHOLD TOWN DEPT SOLID WASTE 01 01364575 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 =.DATE IN - E-OUT TIME,IN_TIME OUT ;VEHICLE _ROLL OFF 05/15/18 05/15/18 10:41 10:41 11114T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 62240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 21840 LB _`QTY.; UNIT - DESCRIPTION =RATE EXTENSION FEE _ TOTAL 10.92 TON Single Stream Recycl 15.000 163.80 0.00 163.80 ¢? mm i^y 7 �, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7,685.; 0. 163.80 , NEXT HOLIDAY: Memorial Day, Monday, May 28 t 4.. x: � ajJrv,.:. ej ,'TENDERED CHECK O: SIGNATURE `*DUPLICATE TICKET" SITE , TICKET`' '°GRID` _ WE1 HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01364575 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN "'DATE OUT�,' TIME IN- TIME"OUT " a,VEHICLE- ROLL OFF, 05/15/18 05/15/18 10:41 10:41 11114T 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 62240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 21840 LB QTY UNIT" DESCRIP710N' RATE ":r- '"';, EXTENSION FEE TOTAL"i 10.92 TON Single Stream Recycl 15.000 163.80 0.00 163.80 a � ay dfki�1 qta a.. e`f _ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. E - 163.80 NEXT HOLIDAY: Memorial Day, Monday, May 28 u =} °�i- TENDERED CHECK NO. ' SIGNATURE e NO. 2077 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTrAASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: )�ls�TV�c1 SHIP DATE: `� 115 COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t �' GROSS i 1 �.L ) TARE tw` � a NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) -- r _- (SIGNATURE) ` TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 I •° ) j'' TRUCK NO. 1 LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: gr1 010 v r:- J £ DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET_=_ `--= rY �- W" NO. 2079 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: '? COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): ' TRUCK WEIGHT: GROSS E ( � TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR-PART-26.1 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) .TRANSPORTER TRANSPORTATION/FREIGHT CO. p t �- / TRUCK NO. LICENSE NO/STATE: TRAILER NO. / LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) " (SIGNATURE) DESTINATION _ f � DISPOSAL LOCATION. k; ;Old i` -`A �`� DATE DELIVERED:" ADDRESS: 1 HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS'BEEN ACCEPTED AND TO THE BEST-OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GfitC)- WELGHiv1ASTEt3,'" -`- - SOUTHOLD TOWN DEPT SOLID WASTE 1 01364878 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 :pXVE1 , _6AT66UT 3innE=fN TIME6LTI' 1/EfiICLE"- ROLL6FF 5/16%18 6/16/18 2:40 2:40 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 76140 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 3.9920 LB QTY-:.`a _ _ .UNtT --"" QESCRIPTiOl�I- °,_. '. _RATEi EXTENSION- -FEE "TOTAL .- 19.96 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 :TENDERED a H NGE'. CHECK NO. SIGNATURE 517E TICKET` GRID WEIGHMASTER. SOUTHOLD TOWN DEPT SOLID WASTE 1 01364878 Steph PO Box 962/6155 Cox Lane DATE INZ' DAMO,UT TIMEW' 1'meo-U °VEt a_ ".,ROLLOFF Cutchogue, NY 11935 5/16/18 5/16/18 2:40 2:40 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 76140 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY LINT DESCRIPTION_, RATE' EXTENSION FEE TOTAL. 19.96 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. IIIIIIIIIIN91111110"01 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 --a°`TENDERECJ "-- NEXT HOLIDAY: Memorial Day, Monday, May 28 --'-CHANGE •-- SIGNATURE NO. 2081 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITYY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. Iz- COMPANY: '-) b L' ? �-i J SHIP DATE: COMMODITY SHIPPED: {C LOOSE: ! (CU YDS) BALES: (COUNT): TRUCK WEIGHT: j I y GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART'2fi1 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING_T_Q.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO.} r TRUCK NO. }} G ) . NO/STATE: TRAILER NO. J ej ! 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: Jro' klo' � I t j " DATE DELIVERED: y 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 a DISPOSAL LOCATION TICKET NO. "'DUPLICATE TICKET" SITE ;_= TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE Di 01364807 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 f)ATE!N DATE QUT" -TIME IN r TIME OUT VEHICLE ROLL OFF 5/16/18 05/16/18 9:53 9:53 11114TC 009306 Town of Brookhaven Waste Manag REFERENC One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 65780 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 29520 LB QTY UNIT 'DESCRIPTION RATE' EXTENSION -FEE` TOTAL 14.76 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 e , 1 tl Operating nours o ays a wee :,.j, r . �: ~, d I • � "� s i�N 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.t � eYy NEXT HOLIDAY: Memorial Day, Monday, May 28 "' „ _. = ' ` TENDERED =. 1-P CHANGE CHECK NO: " SIGNATURE "DUPLICATE TICKET" SITE TICKET° GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01364807 Steph PO Box 962/6155 Cox Lane " Cutchogue, NY 11935 DATE-1N;''I DATE OUT '. `TIME IN,TIME OUT s s VEHICLE ROLL OFF 05/16/18 05/16/18 9:53 9:53 11114T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 F;QTY Scale 2 Gross Wt. 65780 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 29520 LB - UNIT_ DESCRIPTION RATE EXTENSION .-` FEE TOA--- 14.76 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Opera Ing ours oclays a wee . 7.7 / • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85.;.! _,:'` r' � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 -.—„,TENDERED'; CHANGE - CHECK N ., SIGNATURE A- L NO. 2080 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: ` i I i) L SHIP DATE: COMMODITY SHIPPED: LOOSE: U (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-Ot3 ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TR TL_-b ACCORDING TQ APPLICABLE REGULATION. 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: 1 TRAILER NO. �� LICENSE NO/STATE: A I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*G'�1PLICATE TICKET*" WKEr - - GRifl: wE ii�HMasTER - SOUTHOLD TOWN DEPT SOLID WASTE 01 01364986 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oafi ln�: iia-r o-U''_" TIl Ag:tn� TIME i1 vErIIcL i q6(0�0 -` 05/17/18 05/17/18 11:14 11:14 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 87120 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 46720 LB QTY. U►diT,.,,:" gESCRIPTION`.." ;,, RATE EXTENSION. FEf:', TOTAL`_ 23.36 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 -:'.TENDERED CHANGE CHECK O. SIGNATURE *DUPLICATE TICKET'"* rsitel PICKET Rita " WEIGHN)A&TER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01364986 Liz H PO Box 962/6155 Cox Lane DATE IN BATE our TIME ua TIME ouT vErlici E ROLL oFF Cutchogue, NY 11935 05/17/18 05/17/18 11:14 11:14 111 14T 009316 Town of Babylon REFERENCE • Scale 2 Gross Wt. 87120 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB QTY. UNIT.. DESCRIPTION RATE' EXTENSION FEE- TOTAL 23.36 TON UTGO.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. . nn NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED: CHANGE n_"_•3s E 0K' SIGNATURE �__ !I F - NO. 2082 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES N©�ASSUME ANY LIA131LLITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: C. O Lki LJ O L)l SHIP DATE: 1 COMMODITY SHIPPED: 's Vj r LOOSE: t-' (CU YDS) BALES: (COUNT): -717 TRUCK WEIGHT: z GROSS f;� t f _,> TARE -- C- C J t NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. 3 s�. GENERATOR AUTHORIZED AGENT(PRINT NAME) _ (SIGNATURE) ..�RANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: } TRAILER NO. i 9 l 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: r (PRINT NAME) f (SIGNATURE) DESTINATION DISPOSAL LOCATION: /\j (`� 1 . 1 •�` DATE DELIVERED: `Y ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE '- KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. ,"DUPLICATE TICKET" SITE TICKET_ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01364944 Liz H PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATE,IN . :',,DATE OUT,' - TIME"IN 71MEOUT VEHICLE - ROLLOFF' 05/17/18 05/17/18 07:12 07:12 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 80980 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 44720 LB CITY _ UNIT= ` = DESCRIPTION`; RATE -EXTENSION FEE---- TOTAL 22.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 { Opedays a wee a , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:,".i': _ ,,_ �' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,TENDERED.,;., CHANGE CHECK NO.-. SIGNATURE "*DUPLICATE TICKET"* SITE=, ` ,Tii -GRID _ WEIGHMasTER r_-' SOUTHOLD TOWN DEPT SOLID WASTE 01 01364944 Liz H PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATE'IN,- DATE;OUT-_. ,,TIME IN;,TIME OUT ",P VEHICLd>";° ;,' ROLLOFF - 05/17/18 05/17/18 07:12 07:12 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80980 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 44720 LB QTY_` _ UNIT = DESCRIPTION _- r RATE EXTENSION - - "FEE " TOTAL 22.36 TON DUTGO.MSW 0.000 0.00 0.00 0.00 C _ h Op odays a wee . U�, - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85. :a_ _ "_ 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 r, TENDERED 11 . C ANGE��i CHECK NO. SIGNATURE r' NO. 2046 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �) `, ; 1 L.I L1 j SHIP DATE: ' 1 COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ` �} GROSS U'o TARE L) 4- i.' NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY r DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER _ s TRANSPORTATION/FREIGHT CO. TRUCK NO. `- LICENSE NO/STATE: t 4, 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. DRIVER: (PRINT NAME) �> (SIGNATURE) f _ DESTINATION DISPOSAL LOCATION: r` DATE DELIVERED: 1 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **[ PLICATE TICKET" Slr _116Kgf -G b' wE SOUTHOLD TOWN DEPT SOLID WASTE 01 01365082 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,-Z'-DATE,]N 'DATFOUr - Tl1&jJN,--TIME OUT, vIEHIc;LE--- ROTI,OFF, 05/18/18 .05/18/18 07:28 07.:28 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88100 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 51840 LB QTY UNIT= - DESCRIPTION.-_ -RATE- EXTENSION, FEE, TOTAL- 25.92 TON :)UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours /:UU AM to 0:UU I'M 7 clays a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 -TENDERED-', ' CHANGE CHECK NO.. SIGNATURE TEJ- T,16KET-'.-- WEIGHIVI'ASTER "N "DUPLICATE TICKET** (Sf - SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01365082 Liz H PO Box 962/6155 Cox Lane - TROLL N -- DATE Obt fk�E]N, TIME OUT, , VEHICLE-CLE- RO Cutchogue, NY 11935 DATE I - 05/18/18 105/18/18 07:28—107:28 111 14TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 88100 LB Outbound-Charge ticket Manual Tare Wt 36260 LB Net Weight 51840 LB QTY_ UNIT DESCRIPTION PATE' TAL- -, -EXTENSION FEE, TOTAL 25.92 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 h'-,1ENDEREW 'r. HECK NO: SIGNATURE -� Z NO. 2083 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: u 0(A—I �- U L ,a SHIP DATE: 7 / COMMODITY SHIPPED: LOOSE: L; (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i�> cl f `$ GROSS -:5 TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. l TRUCK NO. / LICENSE NO/STATE: TRAILER NO. i �� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. : DRIVER: (PRINT NAME) ;' (SIGNATURE) DESTINATION DISPOSAL LOCATION: ,I,J�I A/\ 7A ')Pi J Y L DATE DELIVERED: I ! / ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. 1 "'DUPLICATE TICKET" SITE ,TICKET - ',,,GRID, WEIGHMASTER SOUYHOLD TOWN DEPT SOLID WASTE 01 01365216 Liz H Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE-IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cu 05/18/18 05/18/18 114:09 114:09 1 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 97080 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 58380 LB QTY. UNIT, DESCRIPTIONRATE. FEE� TOTAL 29.19 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: • , , -. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `{, _ TENDERED Yev` = : o CHANGE �CHEQK O. SIGNATURE "DUPLICATE TICKET" SITE ` TICKET GRID% WEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 01 01365216 Liz H PO BOX 962/6155 COX Lane DATE.W DATE OUT ,-I TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 - 05/18/18 05/18/18 14:09 14:09 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 97080 LB Outbound-Charge ticket 7 Manual Tare Wt. 38700 LB Nei Weicht 583aa IR QTY. UNIT DESCRIPTION RATE EXTENSION ',FEE TOTAL =- 29.19 TON DUTGO.MSW 0.000 0.00 0.00 0.00 f ' ' (`a 1 Operating hours 7:00 AM to 5:00 PM 7 days a week'.` '` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. TENDERED=-- NEXT HOLIDAY: Memorial Day, Monday, May 28 ;',`;:: HANGE=- CHECK NO: SIGNATURE NO. 2084 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. { COMPANY: �) � (h ) ��I U L— } SHIP DATE: j COMMODITY SHIPPED: ; LOOSE: `� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: � a GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. 4 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. fir TRUCK NO. 44 LICENSE NO/STATE: TRAILER NO. t F, LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LUTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) fir✓ (SIGNATURE) DESTINATION ff , DISPOSAL LOCATION: v`�}i�� fj 1�/ f `/f — ' -� DATE DELIVERED: J m r f ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. NO. 2085 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ) u L/j i i. I S SHIP DATE: I ' COMMODITY SHIPPED: f'� - r LOOSE: i " (CU YDS) BALES: (COUNT): TRUCK WEIGHT: l9 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. t r � GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. `� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) j DESTINATION , DISPOSAL LOCATION: DATE DELIVERED: t r ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET „4,= GRID. WEIGHMASTER ; SOUTHOLD TOWN DEPT SOLID WASTE 01 01365308 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN .DATE OUT' TIME IN TIME OUT VEHICLE ROLL OFF h 05/19/18 05/19/18 09:22 09:22 111 14T 009316 Town of Babylon REFERENCE (7— ON Scale 2 Gross Wt. 98760 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 58360 LB QTNIT DESCRIPTION RATE EXTENSION FEE TOTAL Y. U 29.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 >- r IJ �. . operating hours odays a wee t;4 � ;_ ff • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. `` -~_ ° , �' 0.00 �?S V Y Y Y jj, TENDERED . NEXT HOLIDAY: Memorial Da , Monda , Ma 28 CHANGE CHECK NO. SIGNATURE SITE' TICKETGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01365308 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN. - DATE OUT , TIME IN TIME OUT VEHICLE I ROLL OFF 05/19/18 05/19/18 09:22 109:22 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 98760 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 58360 LB QTY. UNIT ,” ' DESCRIPTION RATE' EXTENSION FEE TOTAL 29.18 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r �" r Opera Ing hours odays a wee fir • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 � �_ _ 'Y � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 r'f tt TENDERED` � N . b - CHANGE CHECK,N .-- SIGNATURE NO. 2086 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: L) �T k U�- SHIP DATE: ° J COMMODITY SHIPPED: LOOSE: i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ;'' ' [ °ti, GROSS TARE 5 % ( NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) / (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. f TRUCK NO. LICENSE NO/STATE: TRAILER NO. f f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) �� (SIGNATURE) DESTINATION 1 L! (� J A _•' �� t /l DATE DELIVERED: DISPOSAL LOCATION: 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 _�1`TICKET GRID '"1NEIGHMASTER'? SOUTHOLD TOWN DEPT SOLID WASTE 01 01365858 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 '-`DATE IN 'DATE_OUT= -TIME IN_ TIME OUT _ 'VEHICLE -ROLLOFF- 05/21/18 05/21/18 11:57 11:57 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 93080 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 52680 LB QTY UNIT DESCRIPTION.- :" , RATE EXTENSION !_,FEE_, --TOTAL 26.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • . <W -fir ro _- r � ; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�. ,!/- -_r „ , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ��,� "� q {a =;t =�s°, TENDERED' CH NGE. CHECK NO:- ` SIGNATURE ""DUPLICATE TICKET"* SITE _'_TICKET`1-" GRID "'` v 1NEfGWMASTER'' SOUTHOLD TOWN DEPT SOLID WASTE 01 01365858 Steph PO Box 962/6155 Cox Lane - - - - DATEIN DATE OUT TIME IN.TIME-OUT _, °VEHICLE. ROLL OFF _ Cutchogue, NY 11935 - 05/21/18 05/21/18 11:57 11:57 1 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 93080 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 52680 LB QTY.,, UNIT, ,DESCRIPTION RATE, ,,,,. - . EXTENSION, „FEE „_ "TOTAL 26.34 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week: i s • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.1**- 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 b-,r,,, =.=.Aha` r ' 'TENDERED ¥< - -CHECK NO. SIGNATURE NO. 2088 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. �� COMPANY: IJ (�� J �I� L �� SHIP DATE: ' COMMODITY SHIPPED: Ii�'� �ll W ! f LOOSE: ) (; J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER 5 TRANSPORTATION/FREIGHT CO r I L % TRUCK NO. LICENSE NO/STATE: TRAILER NO. } LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) ' ,DESTINATION �, DISPOSAL LOCATION:,'' !r�J� l DATE DELIVERED: `' z 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 L TIOKET '-GRID--" - " "_ - WEIGHMA3TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01365778 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN'm' DATE°OUT TIME IN' TIME OUT"' 'VEHICLE" _ "ROLLOFF,', 05/•21/18 05/21/18 08:40 108:40 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 51820 LB QTY.' UNIT.',< _ :DESCRIPTION - "RATE`.. . -"EXTENSION"',' _" "FEE'---' '- '-; 'TOTAL- 25.91 TOTAL25.91 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:0dAR1 Ob PM 7 days a wee .:�'; "des u ;; e f j • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x.' $4y >- 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 "<g` ,v PF M gym'" 3 r TENDERED CHANGE = --CH CK NO. SIGNATURE SITE TICKET -G IDWEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 013L Steph PO Box 962/6155 Cox Lane s>, _ Cutchogue, NY 11935 oaTE lru TIME IN TIME OUT VEHICLE ROLL OFF05/21/18 08:40 08:40 11114TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 88080 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 51820 LB QTY tlNIT,,^_„ ` ,,,,,' DESCRIPTION RATE.- EXTENSION FEE . TOTAL 25.91 TON OUTGO.MSW 0.000 0.00 0.00 0.00 k: Operating hours 7:00 AM to 5:00 PM 7 days a weell�c. e- d 't; ,> >. ' f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 , _ � �� � ' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,' , ' _ ° ` • =TENDERED pg, if Ma'r CHANGE CHECK NO: SIGNATURE - NO. 2087 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. t COMPANY: �J ulL- SHIP DATE: v' Z ) ki COMMODITY SHIPPED: �� LOOSE: I �✓ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ~,i` " ' GROSS "= TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. P GENERATOR AUTHORIZED AGENT(PRINT NAME) It (SIGNATURE) / TRANSPORTER I TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: _ �t� it. f f ,f 1 ' Lt/- " DATE_DELIVEREDl U �j . 1 ADDRESS: I I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITS TICKET �GRID,',ti wEiGHMASTER_µ SOUTHOLD TOWN DEPT SOLID WASTE 01 01366040 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATEIN DATE OUT : 'TIME'IN TIMEAUT VEHICLE= ROLLOFF 05/22/18 05/22/18 08:46 108:46 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 100340 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 64080 LB QTY UNIT ,,,_.;,,_ - D_ESGRIPTIQN, 'RATE__ ,_`= EXTENSION -FEE _- TOTAL ',, t_ 32.04 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating ours 0 to :00 aysa wee t • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ',TENDERED' 3 yJ' Y _ CH GE CHECK-NO;. SIGNATURE **DUPLICATE TICKET** sITE - °,TlcKl r, GRID=,,,, 'wE1GHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01366040 Steph PO BOX 962/6155 COX Lane DATE DATE OUT"-° TIME_IN TIMEOUT_-" VEHICLE: ROLLOFF' Cutchogue, NY 11935 05/22/18 05/22/18 08:46 08:46 111 14T REFERENCE 009316 Town of Babylon Scale 2 Gross Wt. 100340 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 64080 LB QTYe,„ ,,, . ,,,;UNIT. -„ ,DESCRIPTION,, RATE EXTENSION., FEE.` = ;TOTAL 32.04 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week'_'-, x;- • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'. '� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ;,. "-TENDERED CHA GE-r ---CHECK NO. SIGNATURE ' NO. 2089 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ` COMPANY: SHIP DATE: -- COMMODITY SHIPPED: LOOSE: > (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS ` TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261--OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING_T-O-APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. -� LrICENSE NO/STATE: TRAILER NO. - LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDYABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. f 1 �� ; DRIVER: �-s'°' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL DISPOSAL LOCATION: �� �( ,f�I ?�J � -' ,{� / DATE DELIVERED: ) ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR, DISPOSAL LOCATION TICKET NO. ,wEIGHMASTER�, *"DUPLICATE TICKET'"" sITE ncKErw` 2 GRID, s_ , SOUTHOLD TOWN DEPT SOLID WASTE 01 01366127 Steph PO Box 962/6155 Cox Lane Cutchogu.e., NY.1 iW35 DATEIN "DATE OUT `;"Tlf/IE IN TIMEOUT ,VEHICLE;: ROLL-0FF 05/22/18 05/22/18 112:01 12:01 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 100380 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 64160 LB QTY_ UNIT = _ DESCRIPTION =RATE _ EXTENSI,ON. F=EE TOTAL,; 32.08 TON UTGO.MSW 0.000 0.00 0.00 0.00 + Ope • CLOSED HOLIDAYS-QUESTIONS CALL 631-73446.85.„ _ _ 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 a ___'TENDERER"r' ,,CHANGE CHECK NO: . SIGNATURE "DUPLICATE TICKET" 81TE .;TICKET `-,, GRID -,wEIGHMASTMFR.. SOUTHOLD TOWN DEPT SOLID WASTE 01 01366127 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN� DATE'OUT "' TIME IN TIME OUT "` VEHICLE `; _ ROLL OFF 05/22/18 05/22/18 12:01 12:01 11114TC 009316 Town of Babylon IC REFERENCE •- Scale 2 Gross Wt. 100380 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 64160 LB QTY, 'UNIT, — DESCRIPTION ,' RATE _, EXTENSION FEE,,,'„ TOTAL; 32.08 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating nours o ays a wee . , Naff• • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 '_`TENDERED CHANGE-,-- I .> CHECK N� SIGNATURE NO. 2090 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ` Lk ) �`{ �' l 1 1 SHIP DATE: -.7 COMMODITY SHIPPED: ),I C- LJ I LOOSE: WO (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 TRANSPORTATj1_OONN ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER /01 4 p TRANSPORTATION/FREIGHT CO. ��� ,I TRUCK NO. 2 LICENSE NO/STATE: TRAILER NO. ) c/ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE,-AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: �FR (PRINT NAME) (SIGNATURE) f DESTINATION•f DISPOSAL LOCATION: : (-' 1 + It ` 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. WEIGHtv1ASTER SITE ' __ .'TICKET- ='GRID - ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01366366 Steph PO Box 962/6155 Cox Lane DATEIN's�'.,DATEOUr VIVIE�IN ,TIMEO6Tj"-"",VEHICLE"- ROLLOFF Cutchogue, NY 11935 = 05/23/18 05/23/18 13:23 13:23 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89620 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 50920 LB QTY°;' UNIT' DESCRIPTION RATE', EXTENSION-, FEE TOTAL, 25.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 cy IN o Operating hours oclays a wee °. ;4 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, 0.00 �a NEXT HOLIDAY: Memorial Day, Monday, May 28 Wa �' 'r • >,, , ;° TENDERED ',mow . -��r;°^.`•.� CHANGE` CHECK NO:- ' SIGNATURE SITE TICKET GRID „WE{GHMASTER,` SOUTHOLD TOWN DEPT SOLID WASTE 01 01366366 Steph PO Box 962/6155 Cox Lane DATE IN,,; DATE OUT TIME IN TIME-OUT °VEHICLE 1-J, ROLLOFF Cutchogue, NY 11935 05/23/18 05/23/18 13:23 13:23 111 14T 009316 Town of Babylon ORIGIN 7 Scale 2 Gross Wt. 89620 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 50920 LB - - QTY__ UNIT__ DESCRIPTION RATE EXTENSION- _-FEE TOTAL 25.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating nours I=AM toclays a wee :� ; " • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.!', " 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ";- �rj°„ ;RP :, TENDERED _ CHECK NO. SIGNATURE NO. 2092 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NO`A��SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: �C: CA. { 1,1 o L-I } SHIP DATE: `3 � 16 COMMODITY SHIPPED: ` S LOOSE: U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: _ - GROSS J 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 / I r 1 TRANSPORTATION/FREIGHT CO. I I *f V TRUCK NO. �2- LICENSE NO/STATE: TRAILER NO. I LICENSE NO/STATE: i 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.__,._ C_ " DRIVER: (PRINT NAME) (SIGNATURE) r' DESTINATION DISPOSAL LOCATION: } � /)n Y JQ 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 11VEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01366281 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN_`� DATE OUT 'TIME IN`TIME OUT VEHICLE�__ I -ROLL OFF 05/23/18 05/23/18 09:38 09:38 11114T 009316 Town of BabylonREFERENCE FScale 2 Gross Wt. 92240 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 55980 LB ,n r'UNIT--., " DESCRIPTION'" " _ „RATE EXTENSION:'-" ;FEE„ TOTAL- 27.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 I 4 y= !L_ _ W Operating hours to 0 PM 7 days a wee t ��Y ._ - j` Lei I CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 TENDERED= NEXT HOLIDAY: Memorial Day, Monday, May 28 4`-k-� � �,°� �A :-� �� �' r' � ° .,-CHANGE CHECK NO: SIGNATURE "*DUPLICATE TICKET`* $qi I _TICKET. Rio_° wEIGHnnASTER. SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01366281 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN__ ` DATE OUT ' TIME IN' TIME OUT VEHICLE•z�t --ROLL OFF 05/23/18 05/23/18 09:38 109:38 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 92240 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 55980 LB UNIT 'r; "• DESCRIPTION „" RATE' „r` ,,EXTENSION` FEE TOTAL '„% 27.99 TON OUTGO.MSW 0.000 0.00 0.00 0.00 -- ,V Xj4 Operating hours 7:00 AM to 5:00 PM 7 days a week, a `` '.^:_T ""` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5: , p A 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �`a a �i = . ,,�' JENDERED E r w: -CHANGE"' CHECK NO:< SIGNATURE - NO. 2091 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES�OT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ! COMPANY: ) 1 �-j SHIP DATE: " 1 ' COMMODITY SHIPPED: J� s LOOSE: I 0 (CU YDS) BALES: (COUNT): o TRUCK WEIGHT: ( ' V GROSS TARE IN NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) C (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO_. 1 �" TRUCK NO. LICENSE NO/STATE: t �� 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 1 DRIVER: (PRINT NAME) J(SIGNATURE) . ESTINATION 4,1 DISPOSAL LOCATION: , VA { ` pl) Y, L ADA E DELIVERED: ADDRESS: ! I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: 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. SITE j_"" ­Tt6KET­',` ]'_ 7") LIGATE TICKET" Et MXS SOUTHOLD TOWN DEPT SOLID WASTE 01 01366456 Liz H PO Box 962/6155 Cox Lane -7 -. - TiMtbUT--" WE,IC ___:- I - N_ - '_- - -'DA( �'DA E buT,".. -6w H Cutchogue, NY 11935 TIE 11� - T_ ­A 05/24/18 05/24/18 08:29 WEI 111 14TC 009316 Town of Babylon REFERENCE ORIG1N Scale 2 Gross Wt. 93720 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 53320 LB UNIT QTY EXTENSION' -FEE TOTAL,DESCRIPTION_` RATE 26.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours 7:06 AM to 5:Ub Pmt days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,. 0.00 � NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED, CHANGE 'CHECK N':::' SIGNATURE "DUPLICATE TICKET" r8ITIE1 TICKET 'I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01366456 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 -DATE IN DAtEOUT TIME IN r TIME OUTJ , VEk1'CI E, ROLL OFF - 05/24/18 05/24/18 08:29 08:29 11114TC 009316 Town of Babylon REFERENCE OR1GIN Scale 2 Gross Wt. 93720 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 53320 LB QTY.- UNITDESCRIPTION RATE -EXTENSION FEE TOTAL 26.66 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing hours Ftio-5:00 PIVI 7 days a week., 01aff AIIIIIIIIII0 _110VAL911 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..,",, 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED,. _ V --CHECK NO. SIGNATURE NO. 2093 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ COMPANY: C) �I H {1 J SHIP DATE: COMMODITY SHIPPED: cJ LOOSE: (CU YDS) BALES: (COUNT): "41 '{k TRUCK WEIGHT: C �°' ► GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION �4 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 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 ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) 0 DESTINATION J J lZ DISPOSAL LOCATION: 6 �I AT`-- A /lS/- �`/ Uva + DATE DELIVERED: ADDRESS: r \11. J I HEREBYCERTIFY 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 " __, 1NEIGHtv1ASTER"" SOUTHOLD TOWN DEPT SOLID WASTE 01 01366682 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN:", DATE OUT " TIME IN TIME OUT 'VEHICLE ROLL OFF 05/25/18 05/25/18 08:29 08:29 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 54700 LB QTY 'UNIT'-- DESCRIPTION . <.` RAE' EXTENSION';,; %:r, FEE TOTAL; , 27.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 A Opera mg hours o ays a weed .= w, „<' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 � � 's 5 TENDERED CHANGE 'CHECK NO: SIGNATURE r _ WEIGHMASTER "*DUPLICATE TICKET" s,ITE 4,Err GR►a'; SOUTHOLD TOWN DEPT SOLID WASTE 01 01366682 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 "DATE IN , DATE OUT. „TIME IN, TIME flUT VEHICLE, ROLL-OFF 05/25/18 05/25/18 08:29 08:29 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 93400 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 54700 LB QTY. UNIT -- DESCRIPTION RATE EXTENSION FEE TOTAL 27.35 TON OUTGO.MSW 0.000 0.00 0.00 0.00 rP Operating hours 7:00 AM to 5:00 PM 7 days a week:' ,.� '���.._._.;�..�w�- • ,P' o��` ,-t.�' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,,� _. j 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28e TENDERED MINI,r HANGE CHECK NO SIGNATURE r NO. 2094 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: c_-} SHIP DATE: Z-" t COMMODITY SHIPPED: V } Vj " 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. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER _lr . I - TRANSPORTATION/FREIGHT CO. YI ; a t TRUCK NO. ' LICENSE NO/STATE: TRAILER NO. `� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT'INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: - _ (PRINT NAME)'' (SIGNATURE) DESTINATIO DISPOSAL LOCATION: C6 l A (J 7A � � �~`�� � N DATE DELIVERED: ) � ADDRESS: I I HEREBY CERTIFY THAT THE.ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF-MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND-ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *'DUPLICATE TICKET" SITE ' TICKET'-t GRID \NEIGHMASTER' _, - SOU_THOLD TOWN DEPT SOLID WASTE 01 01366783 Liz H PO Box 62/6155 Cox Lane Cutchogue, NY 11935 DATE`tN:r ;DATE OUT" "TIMEdN TIMEbUT ' AOCLE,`o ` ROLLOFF 05/25/18 05/25/18 12:35 12:35 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 94380 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 57760 LB QTY UNIT `, ,' ;DESCRIPTION RATE 9 =EXTENSION°" FEE ,TOTAL. 28.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 V Opera Ing hours odays a wee° �! ;� -� r° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 " , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED ,�.° , - •qtr 1. .i ' ,r, - -C ¢ CHANGE' °"' CHECK NO, J, SIGNATURE TE TICKET w,.' ,GRID'„ g :, *"`DUPLICATE TICKET'* "' Sl WEIGHMASTER" SOUTHOLD TOWN DEPT SOLID WASTE 01 01366783 Liz H PO Box 962/6155 Cox Lane - , - Cutchogue, NY 11935 DATE=1N ,,, DATEOUT° ,wTIMEIN TIMEflUT VEHICLE'" ROLkOFF 05/25/18 05/25/18 12:35 12:35 11114T 009316 Town of Babylon Scale 2 Gross Wt. 94380 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 57760 LB QTY UNIT - DESCRIPTION - RATE _=EXTENSIQN FEE TOTAL 28.88 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Ji ) ® ✓i -• --€' �� r `'�9 C71. Opera Ing hours odays a wee "rF ��,t ` _ . ✓ � 'w f-IJ L6191 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 w- , ' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 {Yj �' � �g• ` TENDERED � {; X42. 1,twF. � \2� G �v CHANGE CHECK NO. SIGNATURE NO. 2095 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: 30 (AT )r10 d•- SHIP DATE: - J COMMODITY SHIPPED: ' yy LOOSE: (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: _ GROSS TARE > 7 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) R TRANSPORTER - TRANSPORTATION/FREIGHT CO. o" 1 TRUCK NO. - - LICENSE NO/STATE: TRAILER-NO. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE_ABOVE"NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. rte: DRIVER: - (PRINT NAME) sem'" (SIGNATURE) .rte DESTINATION fl DISPOSAL LOCATION: Cul im {-� 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. ""DUPLICATE TICKET" $ITE ° T1¢KEi° 'GRID " WEIGHMASTER ,`:` SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01366994 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 '""-DATE IN' = .DATE OUT; TIME IN TIME OUT VEHICLE ROEL OFF 05/26/18 05/26/18 09:24 09:24 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 89080 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 52160 LB . DESCRIPTION EXTENSION, 6EE v TO_TALQTY. riUNIT , 26.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 jt{/ �.>.. Al .+..,,,.. ''n ✓ b; a 9 • • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685*?-,,--,-? y . f_, � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ., "TENDERED' . .> ;.,CHANGE CHECK NO: SIGNATURE "*DUPLICATE TICKET" "SITE I TICKET GRIP]^" - "':- '_ WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01366994 Steph l PO Box 962/6155 Cox Lane I Cutchogue, NY 11935 DATE,IN,.I DATEOUT `, mTIMEdN: TIME OUT ',; '.VEHICLE ROLLOFF 05/26/18 05/26/18 09:24 09:24 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89080 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 52160 LB QTY, UNIT DESCRIPTION RATE, EXTENSION;;. FEE TOTAL 26.08 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,17 51 v C`C Op a s a weel(-. > ate, • _ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.6,19 ��, r� r 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 "`TENDERED CHANGE CHECK NO::j SIGNATURE NO. 2096 t GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR M ;RIALS BEING SHIPPED AND DOES NOT ASSUME ANYLIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.COMPANY: f YI `moi SHIP DATE: ��fC� COMMODITY SHIPPED: LOOSE: t (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �'- -' GROSS l { TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS-BEEN-PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPO_ RTATION ACCORDING TQ APPLICABLE REGULATION. f s GENERATOR AUTHORIZED AGENT(PRINT NAME) (..,.., (SIGNATURE) I-< TRANSPORTER � TRANSPORTATION/FREIGHT CO. f TRUCK NO. �".J LICENSE NO/STATE: TRAILER NO. f ( 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: (PRINT NAME) r`( (SIGNATURE) t� r DESTINATION' f f � t DISPOSAL LOCATION: ;ri9 { r { ILS/; II '! } ` 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. *'DUPLICATE TICKET"` SITE (TICKET c GRID, y, -WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE Di 01367646 Steph PO BOX J62/6155 COX Lane "DATE�IN!_='DATE'OUT-, :-TIME IN TIME OUT :.VEHICLE'. ' y' ROLL OFF', Cutchogue, NY 11935 5/29/18 5/29/18 0:55 0:55 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 89800 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weiaht— 52880 LB QTY hiNIT 5 DESCRIPTION - -=RATE-<„ EXTENSION,,.' FEE=` TOTAL 26.44 TON QUTGO.MSW 0.000 0.00 0.00 0.00 pffy ; 14 d 3 Operating hours 7:00 AM to 5:00 PM 7 days a week , N y "..j ,u �' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.° ; `A�i` -* :__•– w 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 1#.>;flrrr {!r g , ,'_ TENDERED' `CHANGE 'CHECK NO. '- SIGNATURE SITE TICKET" ` _ GRID ? INEIGHMASTER **DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE Di 01367646 Steph DATEIN , DATE OUTr TIME PO Box 962/6155 OX Lane °` TIME OUT' '- VEHICLE. ROLL OFF= IN Cutchogue, NY 11935 5/29/18 05/29/18 10:55 110:55 111 14T 009316 Town of Babylon REFERENCE • Scale 2 Gross Wt. 89800 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB QTY UN DESCRIPTION -- RATE` EXTENSION_ FEE<<. ,> NOTAL 26.44 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. :r s; °> F `1Tnn NEXT HOLIDAY: Memorial Day, Monday, May 28 i'rr'i{. "" , TENDERED-4 CHANG CHECK NO. SIGNATURE t NO. 2097 GENERATOR THIS MANIFEST IS FORIREFERENCE 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 ;, w, t t COMPANY: �-.� �-� , 1 } t { r`l SHIP DATE: COMMODITY SHIPPED: IVA vi LOOSE: �y (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS rt '' TARE . 'S5 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR-PART-261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. �.---_--- GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) r fes, TRANSPORTER TRANSPORTATION/FREIGHT CO. + Ic 1 �� TRUCK NO. �//— LICENSE NO/STATE: TRAILER NO. I �r=_` LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. -7-(((- DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION.. C0 DISPOSAL LOCATION: �. e1� I -���i , DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: 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'* SITE TICKET, - GRID;,, UWEIGHMASTER _- SOUTHOLD TOWN DEPT SOLID WASTE 01 01367785 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEIN _;w DATE OUT ;;TIME IN TIME OUT °_,',' VEHICLE I `;ROLL OFF -" 0k9f18 05/29/18 14:28 14:28 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89220 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52600 LB ,- QTY. - UNIT` - DESCRIPTION RATE EXTENSION _ FEE - TOTAL°=, 26.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685..x' . ✓ � '� .� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �� �� :, ,� , }' TENDERED u� CHANGE' ..CH CK NO: SIGNATURE "`DUPLICATE TICKET"" (SITEI.- TICKET � GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01367785 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN, ,, iJATE,O,UT.,, TIME IN` TIME;OUT ,'. -VEHICLE ROLLOFF. 05/29/18 05/29/18 14:28 14:28 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 89220 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52600 LB QTY. UNIT", DESCRIPTION';" RATE` EXTENSION, 'u' FEE" +TOTAL 26.30 TON OUTGO.MSW 0.000 0.00 0.00 0.00 - Operating-hours o days a wee . • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.x,," e , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE, r CHECK NO SIGNATURE NO. 1715 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT'-ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: y1'�.. ; '� "- � '� 'J- I , SHIP DATE: COMMODITY SHIPPED: pi 1 LOOSE: % f' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE <` NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) ��' (SIGNATURE) TRANSPORTER r `r TRANSPORTATION/FREIGHT CO. TRUCK NO. _r- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: - (PRINT NAME) i (SIGNATURE) DESTINATION DISPOSAL LOCATION: / DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE.ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SOUTHOLD TOWN DEPT SOLID WASTE 01 01367519 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 05/29/18 05/29/18 07:13 07:13 111 14T 009316 Town of Babylon Scale 2 Gross Wt. 94300 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55600 LB 27.80 TON OUTGOWSW 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 SOUTHOLD TOWN DEPT SOLID WASTE 01 01367519 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 05/29/18 05/29/18 07:13 07:13 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 94300 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55600 LB 27.80 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 SOUTHOLD TOWN DEPT SOLID WASTE 01 01367519 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 05/29/18 05/29/18 07:13 07:13 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 94300 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55600 LB 27.80 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 SOUTHOLD TOWN DEPT SOLID WASTE 01 01367519 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 05/29/18 05/29/18 07:13 07:13 11 114T 009316 Town of Babylon Scale 2 Gross Wt. 94300 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55600 LB 2780 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. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 NO. 2098 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: t )t� � 1 t{ �` - I> SHIP DATE: 2 � COMMODITY SHIPPED: y LOOSE: (' �' (CU YDS) BALES: (COUNT): _ -7 ; ,�i TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR-TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. �' 1 � 1 TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW r� DRIVER: �✓ �' f (PRINT NAME) (SIGNATURE) J DESTINATION DISPOSAL LOCATION: A V /`1 �1, il-,- 1 f% r - 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. t PINK TO GENERATOR GOLD TO GENERATOR - DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" SITE TICKET„ a GRID ` _ =WEIGHMASTERt` SOUTHOLD TOWN DEPT SOLID WASTE 01 01368031 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N _ OATE OUT TIME IN TIME OUT VEHICLE ROLL OFF_' 05/30/18 0MOM 8 13:15 13:15 11114TC 009316 Town of Babylon Scale 2 Gross Wt. 94640 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 58020 LB ,QTY' UNIT =, .-. DESCRIPTION r _ :RATE EXTENSION FEE TOTAL, 29.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours odays a wee CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �r Wiz; 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 V y ` i. "TENDERED'.. '_ &`� ,j I;gy�q CHANGE, C ECK NO:- SIGNATURE "DUPLICATE TICKET" SITE TICKET,,, „Y% ` GRID .WEIGHMASTER_:, SOUTHOLD TOWN DEPT SOLID WASTE 01 01368031 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 oaTE'IN ' DATE OUT TIME IN TIME OUT ` VEHICLE I ROLL OFF 05/30/18 05/30/18 13:15 13:15 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 94640 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 58020 LB QTY._, -, UNIT - `{< DESCRIPTION` -RATE—- EXTENSION,, ', ,, FEE<,„ _ TOTAL', 29.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week ; .��: �� �- r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 %; '” 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 VNITENDERED 22-LL� 7 CHANGE' C E KNO. SIGNATURE i NO. 8686.: GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: r -' ;_� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS L. TARE ( �= NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. �' --' LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. J /% DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION` t i %i r d'- i 1•'t �e � DISPOSAL LOCATION:-,U `` f �, �°�% DATE DELIVERED: I ADDRESS: / I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION_PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER ' YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. - i "DUPLICATE TICKET"* SITE[ "' =i"ICKEr -GRID, WEIGHMASTER", SOUTHOLD TOWN DEPT SOLID WASTE 01 01367888 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE--OUT=,a TIME IN TIME OUT VEHICLE - `ROLL OFF,x 05/3Q/18 , 05/30/18 07:58 07:58 111 14T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 94540 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55840 LB 7 QTY UNIT DESCRIPTION R&T,E EXTENSION £FEE - TOTAL_ 27.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00 C: it t _3 Opera Ing hours o 0M PM 7 clays a wee .:,�, j , ,4 = (a; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7.685e,�„ _ '' _ �� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 .>> '� " _ -:;—TENDEFIED 71,-"- CHANGE +•, = CHECK NO SIGNATURE ""DUPLICATE TICKET"" SITE _ ,TICKET GRID, ,WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01367888 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE tN'r= >DATE-OUT'' ' TIM°E IN TIME OUT VEHICLE ROLL OFF' 05/30/18 05/30/18 07:58 07:58 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 94540 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 55840 LB _QTY UNIT"`', DESCRIPTION'" RATE' EXTENSION`- FEE TOTAL 27.92 TON OUTGO.MSW 0.000 0.00 0.00 0.00 y/�jf �Ap r :11 4 v �` Operating hours 7:00 AM to 5:00 PM 7 days a week�k, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E?�11 w .� P J 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �' ' °r?=: "�� TENDERED .✓ a CHANGE ' CNE N!: '-' SIGNATURE NO. 8685 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO,OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. } COMPANY: 0 f A SHIP DATE: COMMODITY SHIPPED: tl sA, ? f LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: � ) `�';� t 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 T-Q.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER OVA TRANSPORTATION/FREIGHT CO `J i TRUCK NO. �' LICENSE NO/STATE: TRAILER NO. �3 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) f%' (SIGNATURE) - i DESTINATION ` �! f j `j I �� ;�_,''1` �' ' DATE DELIVERE DISPOSAL LOCATION: E D: �f ; ADDRESS: �� 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. -i_ _ * DUPLICATE TICKET** SITE 'TICKET "" GRID` = WEIGHMAISTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01368277 Liz H PO BOX 962/6155 COX Lane QATE,IN, DATE OUT TIME IN TIME OUT - VEHICLE. ROLL OFF - Cutchogue, NY 11935 - 05/31/18 05/31/18 13:47 13:47 11114TC 009316 Town of Babylon I REFERENCE ORIGIN Scale 2 Gross Wt. 89100 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Nei e' 80 B QTY ,,UNIT >,,, , , -DESCRIPTION.,. RATE- „_EXTENSION : FEE,.;, ,'TOTAL 26.24 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."�;� a -- -."- ' ,�� p 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `�. "trt�' 1 ; - q;�� '.r TENDERED CHANGE=­o CHECK NO SIGNATURE SITE TICKET G131D WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01368277 Liz H- PO BOX 962/6155 COX Lane DATE,IN DATE OUT TIME IN TIME OUT ,,4-, VEHICLE ;,,, ROLLOFF Cutchogue, NY 11935 05/31/18 05/31/1 8 13:47 13:47 111 14T 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 89100 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB QTY. `UN DESCRIPTION. RATE EXTENSION" FEE,, 70TAL- , 26.24 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.'= NEXT HOLIDAY: Memorial Da Monday, May 28 t` TENDERED _ CHANGE `CHECK-NO.' SIGNATURE SITE .TICKET GRID ",WEIGHMASTER`""`"F^Nr' "DUPLICATE TICKET" ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01368277 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ;DATE IN . _'$DATE OUT- TIME-IN TfME OUT VEHICLE ROLL OFF 05/31/18 05/31/18 13:47 13:47 11114T 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 89100 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 52480 LB QTY.' UNIT DESCRIPTION° RATE_ EXTENSION `- '- " 'FEE_ -- TOTAL"`" 26.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ear JL Operating hours 7:00 AM to 5:00 PM 7 days a week!, a` },,w _�. - f•✓° n` ;_j, • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.( , { 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `"F`, � _ 's ° TENDERED CHANGE., CHECK" O. _- SIGNATURE "DUPLICATE TICKET" "SITE[_,,,TICKET _'Ir "GR'Q WEIGHMAS,TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01368277 Liz H PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 DATE IN"o 'DATE'OUIT TIME IN,TIME OUT "i ''VEHICLE ROLLOFF >. 05/31/18 05/31/18 13:47 13:47 11114T 009316 Town of Babylon REFERENCE ORIGIN 2 Gross Wt. 89100 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei ht 5.2480 LB .QTY UNIT�� r" DESCRIPTION - RATE.- "EXTENSIONa c Al'FEE, TOTAL:'" " 26.24 TON DUTGO.MSW 0.000 0.00 0.00 0.00 'tt 'P`�p.'y F t` �}~y2 `., ter•.� i�`t %: S �t Operating hours 7:00 AM to 5:00 PM 7 days a week. ` _ -- : "= • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.: „% �' ', "E,.r 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE. CHECK NO:1 SIGNATURE t: NO - 8688 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT(ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: _,' `� i �_> �j SHIP DATE: - I I COMMODITY SHIPPED: LOOSE: �` (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 16 # GROSS J' TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION r rl GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) --TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. - f `�� LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TOt THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) r`r`(SIGNATURE) DESTINATION` �j• j , in, !V'moi �; ,' �j� f', t:.J�"I �-" '�✓f �/ � r DISPOSAL LOCATION: - " Y 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' - SOUTH,,QLD TOWN DEPT SOLID WASTE 01 01368150 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE"OUT, TIME IN j.f1ME6UVEHICLE ' ROLLOFF 05/31/18 05/31/18 07:35 07:35 11114T 009316 Town of Babylon REFERENCE ORIGIN, Scale 2 Gross Wt. 91860 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 54940 LB -QTY., UNIT DESCRIPTION,; ,' - == RATE EXTENSION,. - FEE-- TOTAL 27.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 1 r _?, Opera Ing hours odays a week-, 6"� - " t ;,_,. - :3 T • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _,_?p ., �° _ �* 000 NEXT HOLIDAY: Memorial Day, Monday, May 28 `,f`,� . ' TENDERED cs CHANGE CHECK-NO. - SIGNATURE **DUPLICATE TICKET" SITE TICKET r,;GRID :°WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01368150 Liz H PO Box 962/6155 Cox Lane DATE"IN " DATE CUT TIME IN TIME OUT '"'-, VEHICLE" "" ROLL OFF Cutchogue, NY 11935 05/31/18 05/31/18 07:35 107:35 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91860 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 54940 LB QTY UNIT" 'DESCRIPTION'' RATE, EXTENSION'_ FEE' 'TOJTAL � 27.47 TON OUTGO.MSW 0.000 0.00 000 0.00 Opera Ing ours 7:00 AM to 5:00 PM 7 days a weeks411111111111== SED HOLIDAYS- NS NEOT HOLIDAY: Memorial Day,lOMonday, May 28 4-7685. e — N� 0 .00 TENDERED t -7.uz -aS HANGE CHECK NO SIGNATURE '*DUPLICATE TICKET'* SITE ricticEr° GRID' WEidilMiisrER SOUTHOLD TOWN DEPT SOLID WASTE 01 01368150 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE-OUT, _TIME IN TIME'OUT `VEHICLE r '"'ROLLOFF 05/31/18 05/31/18 07:35 07:35 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 91860 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 54940 LB "'07y `UNIT ;r, DES_CR_IPTION,,' RATE , -EXTENSION,-, FEE. -,-TOTAL;_ 27.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 o . j CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �` `"- �.>_ �-.r• �; 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 e TENDERED° _ � ^� ✓ 1�" ,CHANGE- -CHECK CHANGE-C ECK NO: SIGNATURE "DUPLICATE TICKET`* S " ITE -'°°r TICKET` 'GRID ° WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01368150 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 119351 1 'DATE,IN:',= `DATEOUT' TIME IN TIME`OUT °'. 'VEHICLE; ROLLOFF,, 05/31/18 05/31/18 07:35 07:35 11114T 009316 Town of Babylon REFERENCE ORIGIN FScale 2 Gross Wt. 91860 LB Outbound-Charge ticket Manual Tare Wt. 36920 LB Net Weight 54940 LB 175177 UNIT,, DESCRIPTION °RATE, ;EXTENSION, FEE., -TOTAL," 27.47 TON OUTGO.MSW 0.000 0.00 0.00 0.00 •` „_,..-r'f J CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685';7,. r „_ ." 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 _TENDERED` -,CHANGE,.. .. CHECK NO::j SIGNATURE NO. 868 " GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. !! — '..11► } 1f} COMPANY: j tom'//--�� 't �' e t.-r �,..._ ; SHIP DATE: i COMMODITY SHIPPED: LOOSE: '"' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS a TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIC!UID.AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER !F` / 1 TRANSPORTATION/FREIGHT CO. TRUCK NO. �- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENTT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) r DESTINATION fz DISPOSAL LOCATION:; 'V/ d7 �.✓%f��Js; jr ` ' ' 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.