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Home My WebLink About04/2018 SITE TICKET 'GRID WE16HMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352130 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 = DATE IN, DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF 04/03/18 04/03/18 13:45 13:45 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87220 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB - Net Wei ht 51000 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.50 TON DUTGO.MSW 0.000 0.00 0.00 0.00 dil" p nJ Y 'Y 4 Operating hours 7:00 AM to 5:00 PM 7 days a week'". V ;;. ' ;erv. �, ':, �'" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685!-?,*, .v_ /; 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `<�s y{/ '"" �,f 1/r;� �" Via'". t' TENDERED . `✓ '- r CHANGE CHECK NO SIGNATURE rSITEJ TICKET I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352130 Steph PO Box 962/6155 Cox Lane DATE'IN - 'DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 04/03/18 104/03/18 13:45 13:45 111 14T 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 87220 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB QTY UNIT DESCRIPTION RATE EXTENSION' FEE TOTAL 25.50 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week s` `��` -' .�.° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685: ''Pb000 NEXT HOLIDAY: Memorial Day, Monday, May 28 7 � �, TENDERED K r� CHANGE i CHECK NO SIGNATURE SITE TICKET GRID,; WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352090 Steph PO BOX 962/6155 COX Lane - DATE IN` `DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF _ Cutchogue, NY 11935 04/03/18 04/03/18 11:47 11:47 19640TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB KIP1 Wpinht 49A90 LB QTY., UNIT, DESCRIPTION RATE EXTENSION FEE TOTAL 21.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r t j hours 7:00 AM to 5:00 PM 7 days a week -Z- Operating • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685x'= `" `` - - ~"` :, ;w i' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `" k° x�3<, � <? r TENDERED : r CHANGE CHECK NO SIGNATURE SITE _ TICKET -GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352090 Steph PO Box 962/6155 Cox Lane DATE'IN 'DATE_OUT_ TIME IN TIME OUTI, ' ''VEHICLE I ROLL OFF Cutchogue, NY 11935 04/03/18 04/03/18 11:47 11:47 19640TC 009316 Town of Babylon REFERENCE .. Scale 2 Gross Wt. 79180 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB QTY UN DESCRIPTION - 'RATE_" EXTENSION FEE TOTAL 21.46 TON OUTGO.MSW 0.000 0.00 0.00 0.00 SJSI t '� „` , • Operating hours 7:00 AM to 5:00 PM 7 days a week: - ._ r �. �' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. o nn TENDERED NEXT HOLIDAY: Memorial ,Monda Day, Y Y May 28 `: �?k v 9 ' ; CHANGE HECK NO SIGNATURE "`DUPLICATE TICKET"" SITE TICKET+., GRID WEIGHMASTER "- SOUTHOLD TOWN DEPT SOLID WASTE 01 01352076 Steph PO Box 962/6155 Cox Lanex Cutchogue, NY 11935 DATE IN DATE,OUT TIME W TIME OUT VEHICLE ROLL OFF__ `" 04/03/18 04/03/18 11:12 11:12 11114TC 009306 Town of Brookhaven Waste Manag _ REFERENCE One Independence Hill • Farmingville NY 11738 7 Scale 2 Gross Wt. 55240 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 18980 LB QTY. UNIT _ DESCRIPTION RATE EXTENSION FEE TOTAL 9.49 TON Single Stream Recycl 15.000 142.35 0.00 142.35 Operating hours 7:00 AM to 5:00 PM 7 days a week`4,, '":A °�` �' , J • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' `� _• '� 142.35 xf TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 ' _^ y n � CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET °,SITE ,,;,. TICKET . GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352076 Steph PO Box 962/6155 Cox Lane DATE IN" DATE-OUT' TIME IN TIME-OUT VE_HICLE ROLL OFFS ° Cutchogue, NY 11935 04/03/18 04/03/18 11:12 11:12 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 55240 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB QTY. UNI-r- = DESCRIPTION= -,RATE EXTENSION --FEE q TOTAL 9.49 TON Single Stream Recycl 15.000 142.35 0.00 142.35 Operating hours 7:00 AM to 5:00 PM 7 days a week"`, 'Zzz _ / • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ~- — c � 142.35 TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 ` CHANGE.= , CHECK-,NO 9 SIGNATURE **DUPLICATE TICKET** SITE . TICKET GRID WEIGHMASTER_, , SOUTHOLD TOWN DEPT SOLID WASTE 01 01352017 Steph PO BOX 962/6155 COX Lane DATE IN DATE OUT TIME IN TIME OUT , VEHICLE , ROLL OFF Cutchogue, NY 11935 = = 04/03/18 04/03/18 07:59 07:59 19640TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81680 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei ht 45060 LB QTY_ 'UNIT' DESCRIPTION RATE ,,; EXTENSION `^FEE TOTAL' 22.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,(`' � . Operating hours 7:00 AM to 5:00 PM 7 days a week. e'_ `�; _ J °�._e._ - ` �' r J • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 '�`9 .' r , � `,;�r� �� r _TENDERED,, l' CHANGE 17 CHECKNO:::j SIGNATURE ,SITE ".TICKET° " GRID wEIGHMASTER- , - - — **DUPLICATE TICKET** - 77 SOUTHOLD TOWN DEPT SOLID WASTE 01 01352017 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN "' DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/03/18 04/03/18 07:59 07:59 19640TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 81680 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei ht 45060 LB QTY UNIT = DESCRIPTION- RATE EXTENSION FEE- _, TOTAL 22.53 TON DUTGO.MSW 0.000 0.00 0.00 0.00 a ;. , ,, Operating hours 7:00 AM to 5:00 PM 7 days a week`s. �'%� ` • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ` . � a TENDERED CHECK NO. SIGNATURE NO. 1833 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: } J LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS t' TARE o NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO.APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. _ LICENSE NO/STATE: TRAILER NO. ; `t LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: - ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *"DUPLICATE TICKET" SITE _ TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352015 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 h DATE IN',_ ;. DATE}OUT,_,TIMIE IN„ TIIME,OUT VEHICLE_„ ROLL OFF'.' k 04/03/18 04/03/18 07:31 07:31 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76780 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 40840 LB 'QTY — UNIT_= DESCRIPTION= RATE EXTENSION FEE_'— TOTAL 20.42 TON DUTGORSW 0.000 0.00 0.00 0.00 f S , G v .—D Opera Ing ours IM AM to ays a wee ;�, Y.:p w, {v. : , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.q,��: ,�`'��.�� w.}%''° ` `� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ,'TENDERED 'CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" ITE ,TICKET— GRID 1NElGHM4STER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352015 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 'DATE IN,, `DATE OUT TIME IN TIME OUT , ,u"VEHICLE ROLLaOFF 04/03/18 04/03/18 07:31 07:31 11 114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 76780 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 40840 LB QTY UNIT __ DESCRIPTION RATE —=EXTENSION;,. FEE- NOTAL 20.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to5:0-0-PWT-days a wee , s `` CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 a �Q t3p: .y; " �'' TENDERED- CHANGE -,CHECK SIGNATURE NO. 2014 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. � If � f ul COMPANY: `J `f � l' L } SHIP DATE: } #` COMMODITY SHIPPED: LOOSE: /1 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i__: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) y 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 LI TrD ABOVE, AND THAT W WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) l (SIGNATURE) DESTINATION 1 JI DISPOSAL LOCATION: s ` ,' r 4 1 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: WRITE 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 01352172 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN;_' DATE OUT TIME IN-TIME OUT VEHICLE _-, ROLL OFF 04/04/18 04/04/18 08:42 08:42 11114TC 009316 Town of Babylon =n7 Scale 2 Gross Wt. 81840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 45900 LB QTY- UNIT, DESCRIPTION _ RATE EXTENSION`` FEE TOTAL 22.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t . tiz f' f tr Operating hours oclays a weeK4., 5 ija' Ae ,;� >r " CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768 ® , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 f `ti ,'` " f✓ TENDERED • ,y, �a"t CHANGE' CHECK O: SIGNATURE "DUPLICATE TICKET" rStfEl TICKET= _ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352172 Steph PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 DATE IN DATCOUT =TIME IN TIME'OUT VEHICLE -ROLL OFF 009316 Town of Babylon 04/04/18 104/04/18 108:42 08:42 11114TC REFERENCE ORIGIN Scale 2 Gross Wt. 81840 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 45900 LB .. QTY ;.UNIT.;" DESCRIPTION" "RATE'"l, ","EXTENSION FEE ,TOTAL 22.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 P_ Opera Ing ours :0 to 5:00 PM 7 days a week `� � ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE` CHECK NO. SIGNATURE i NO. 2012 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: !A } { L% Ll SHIP DATE: L� COMMODITY SHIPPED: �vl J \ I 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) l (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ) TRUCK NO. LICENSE NO/STATE: TRAILER NO. P LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AN THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. �✓� t DRIVER: (PRINT NAME) ��-'` (SIGNATURE) DESTINATION DISPOSAL LOCATION: ;«f �l - i /( A I,1 1 � �� A1 DATE DELIVERED. pi 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: L AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE i KEY: WHITE TO DISPOSAL LOCATION t GREEN TO TRANSPORTER r YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR v DISPOSAL LOCATION TICKET NO. *"DUPLICATE TICKET"* SITE ' =_TICKET.'_ GRID, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352163 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/04/18 04/04/18 07:50 07:50 19640TC 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 82640 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 43940 LB 7 " -QTY. UNIT '" "' " :DESCRIPTION RATE" "EXTENSION a=FEE"' NOTAL 21.97 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 4 Operating hours 7:00 AM to 5:00 PM 7 days a wee e.,,S.. >" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:'x°?' p 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �'�` {ty!: ,. tomg:s� ' :,TENDERED -CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITEF, TICKET 'GRID`" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352163 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 _DATEIN'' DATEOUT =TIME IN_TIME OUT 'VEHICLE `ROLLOFF 04/04/18 04/04/18 07:50 07:50 19640TC 009306 Town of Brookhaven Waste Manag REFERENCE - One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 82640 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 43940 LB ` ;;QTY UNIT,k „r DESCRIPTION , °RATE EXTENSION FEE TOTAL----, 21.97 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week:, s -_" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ; }� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 Oj-A � _ ? 'd TENDERED "„� ... CHANGE, CHECK NO: SIGNATURE NO. 1887 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: iti _ � ` t 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. GENERATOR AUTHORIZED AGENT(PRINT NAME) �` (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: r - r TRAILER NO. LICENSE NO/STATE: k� 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: Y j� (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 -x_ TICKET °;r' GRID _' -_ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352192 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ."DATEiIN,'' DATEOUT' =TIMEIN,, TIME OUT "`i1lEHICLE_ _`:a' " ROLLOFF 04/04/18 04/04/18 10:24 110:24 1 19640TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 78800 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43260 LB ,,.QTY- _ ..,, UNIT_-=, =-,DESCRIPTION, RATE EXTENSION < k =FEE TOTAL' 21.63 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 k _ Opera Ing nours o ays a wee :, =6 • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E a� `' l' 0.00 NEXT HOLIDAY Memorial Day, Monday, May 28 %�. �s ``? TENDERED CHANGE -'C ECK O. SIGNATURE ""DUPLICATE TICKET"" SITE TICKET;' 11 ;;, GRID,'.' WEIGHMdSTEfl' SOUTHOLD TOWN DEPT SOLID WASTE 01 01352192 Steph PO Box 962/6155 Cox Lane _ T ;"TIME„IN TIME OUT "' -VEHICLE °'" ROLL OFF , Cutchogue, NY 11935 SATE IN DATE Qu 04/04/18 04/04/18 10:24 10:24 19640TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 78800 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43260 LB `- -QTY _ UNIT_ _ DESCRIPTION RATE EXTENSION FEE TOTAL' 21.63 TON OUTGO.CONST-CO NTRACT 0.000 0.00 0.00 0.00 - m J Operating hours 7:00 AM to 5:00 PIVI 7 days a wee �' 5��,�:_,' ,� p • ' . ° CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 _ :.. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 y #49G q U` � TENDERED CHANGE' CHECK NO. SIGNATURE 4 NO. 1886 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: '7 (CU YDS) BALES: (COUNT): TRUCK WEIGHT: 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,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ` t TRUCK NO. LICENSE NO/STATE: - TRAILER NO. �� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: is (PRINT NAME) (SIGNATURE) 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. = . ;` , . . S►TE _ TICKET GRID •WEt6HMAS7Efi-y ;- SOUTHOLD TOWN DEPT SOLID WASTE 01 01352228 Steph PO Box 962/6155 Cox Lane - DATEIN- DATE C7UT'z_' TIME 1N EINE OUT ^ VEHICLE,,=; ROLL OFF,'->" Cutchogue, NY 11935 04/04/18 04/04/18 13.12 13:12 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 93860 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB Net Wei ht 54720 LB QTY -,,UNIT' _ _ :DESCRIPTION''- 'RATE, EXTENSION FEE,= TOTAL 27.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 r . f Operating hours 7:00 AM to 5:00 PM 7 days a week- • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76.85. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED, ' .CH CK NO, SIGNATURE SITE, -' TICKET I GRID WEIGHMASTER_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01352228 Steph PO Box 962/6155 Cox Lane ,PATE IN 'DATE OUT TIME IN TIME OUT VEHICLE ROLL-OFF Cutchogue, NY 11935 04/04/18 04/04/18 13:12 13.12 11114T 009316 Town of BabylonREFERENCE •. Scale 2 Gross Wt. 93860 LB Outbound-Charge ticket Manual Tare Wt. 39140 LB QTY. .. Uhl► DESCRIPTION RATE - EXTENSION' FEE TOTAL 27.36 TON OUTGO.MSW 0.000 0.00 0.00 0.00 t 4 Operating hours 7:00 AM to 5:00 PM 7 days a week.:', • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685:= - `' . ,-, 0.00 TENDERED,NEXT HOLIDAY: Memorial Day, Monday, May 28 HANGE _- SIGNATURE NO. 2007 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 ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. �Y z # COMPANY: Ci- ( �% Ll SHIP DATE: I `� COMMODITY SHIPPED: LOOSE: 0 J (CU YDS) BALES: (COUNT): TRUCK WEIGHT: t �� GROSS j s l �• TARE � 2 NET r. 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 t TRANSPORTATION/FREIGHT CO. TRUCK-NO. LICENSE NO/STATE: TRAILER NO. i LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ? DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: I% VA � T/ ' f ~ DATE DELIVERED: � J ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED J 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 01352235 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 DATE 1N `DATE_OUT'" .;TIME IN TIME OUT VEHICLE ' _ ROLL OFF 04/04/18 04/04/18 13:38 13:38 19640TC 009306 Town of Brookhaven Waste Manag ti REFERENCE One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt. 63920 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 28380 LB QTY',:` UNIT',, - `. DESCRIPTION RATE EXTENSION FEE TOTAL 14.19 TON Single Stream Recycl 15.000 212.85 0.00 212.85 Operating hours o ays a weekvAi • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' _." ` 212.85 NEXT HOLIDAY: Memorial Day, Monday, May 28 3r',~,, `_� � f TENDERED i CHANGE CHECK NO. SIGNATURE "*DUPLICATE TICKET" SITE TICKET' GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352235 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN DATE CUT J ME IN TIME OUT "._VEHICLE ROLL-OFF 04/04/18 104/04/18 13:38=13.38 19640TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 F Scale 2 Gross Wt. 63920 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Wei ht 28380 LB - QTY. __ UNIT DESCRIPTION RATE EXTENSION -FEE TOTAL 14.19 TON Single Stream Recycl 15.000 212.85 0.00 212.85 S YJ ,.. ✓ Operating hours 7:00 AM to 5:00 PM 7 days a weeks'' x '� "._ ,,� LGIN CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:' �. �1 212.85 `; rl TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 z r CHANGE CHECK NO. SIGNATURE � of NO. 1885 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: - ' SHIP DATE: COMMODITY SHIPPED: LOOSE: ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) t w Jj (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. = "' LICENSE NO/STATE: . TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ( ` DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" .S(TE - -7I6KE6,- GRID ws`iGHnnasTER:; cSOUTHOLD TOWN DEPT SOLID WASTE 31 01352315 Liz H PO Box 962/6155 Cox Lane ' - Cutchogue, NY 11935 HATE IN; DATE:OUT TIME IN, TIME OUT. ` = VEHICLE.' ' 'ROLA OFE 4/05/18 4/05/18 9:03 9:03 11114TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence Hill REFERENCE Farmingvllle NY 11738 Scale 2 Gross Wt. 53760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 17500 LB MY-1UNIT ; = 'DESCRIPTION ,RATE EXTENSION FEE _ -TOTAL; 8.75 TON Single Stream Recycl 15.000 131.25 0.00 131.25 Operating hours 7:00 AM to 5:00 PM 7 a5ys a wee .: • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685. 131.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED . CHANGE CHECK NO. _j SIGNATURE "*DUPLICATE TICKET" rSITEI TICKET, 1, GRID_ wEIGHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01352315 Liz H PO Box 962/6155 Cox Lane DATEIN DATE OUT Cutchogue, NY 11935 TIME IN TIME OUT VEHICLE. ROLLOFF 04/05/18 04/05/18 9:03 09:03 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE _ One Independence Hill � Farmingville NY 11738 Scale 2 Gross Wt. 53760 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 17500 LB QTY.- UNIT DESCRIPTION' - RATE EXTENSION. FEE TOTAL 8.75 TON Single Stream Recycl 15.000 131.25 0.00 131.25 fly} Operating hours 7:00 AM to 5:00 PM 7 days a week. -- _'. • CLOSED HOLIDAYS-QUESTIONS CALL 631-7344685.::- "gid 131.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 "r" TENDERED .- ;_ '-CHANGE >CHECK NO.. `-- SIGNATURE NO. 2028 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS N BEING SHIPPED AND DOES OT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. � (,� COMPANY: l.1�� V� i ;,� OLD� �.. SHIP DATE: COMMODITY SHIPPED: -� �-- � cj LOOSE: I `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 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. I G, J LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVEsAND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME)` (SIGNATURE) j{s DESTINATION DISPOSAL LOCATION: / /; ��' _- f DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE , TICKET ___ 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01352391 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT " �VEHICLE � ROLL OFF ° 04/05/18 04/05/18 12:29 12:29 11114TC 009306 Town of Brookhaven Waste Manag _ One Independence HillREFERENCE • Farmingville NY 11738 -7 Scale 2 Gross Wt. 79680 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 40980 LB QTY UNIT _ DESCRIPTION ° RATE„ . EXTENSION FEE TOTAL 20.49 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 WOO 11 efP J Operating hours 7:00 AM to 5:00 PM 7 days a week. e '�, 3' • `:s CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 � TENDERED CHANGE ' CHECK NO. _j SIGNATURE "*DUPLICATE TICKET" rSITE I :,,TICKET, ' , GRID, ; ' . ' ,'" ,WEIGHMASTER x,, SOUTHOLD TOWN DEPT SOLID WASTE 01 1 01352391 Liz H PO Box 962/6155 Cox Lane DATE IN DATE OUT, TIME IN, TIME-OUT VEHICLE , ; ROLLOFF Cutchogue, NY 11935 04/05/18 04/05/18 12:29 12:29 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 79680 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weiaht 40980 LB QTY UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL 20.49 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 r, ,'�`��' .. •rte ZI�� Operating hours 7:00 AM to 5:00 PM 7 days a week'` ° `� 4` • p 9 Y �. �. _� -k CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED I� tt1 CHANGE CHECK NO SIGNATURE i NO. 202.9 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 3 z COMPANY: ' ! L �� SHIP DATE: COMMODITY SHIPPED: L- )? 1 j LOOSE: s (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION F GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r� TRUCK NO. :123 L/ICENSE NO/STATE: TRAILER NO. ) rI ,—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. DRIVER: (PRINT NAME) (SIGNATURE) 6 DESTINATION DISPOSAL LOCATION: �> A V �— �� DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. .**DUPE:CATE TICKET" -SITE - ATICKET'_' '_GRID WEIGHMASTER 5• SOUTHOLD TOWN DEPT SOLID WASTE 01 01352526 Liz H PO Box 962/6155 Cox Lane DATE�aN': DATE, `�OUT TIME IN TIMEOUT ' .,VEHICLE '' ROLL OFF Cutchogue, NY 11935 4/06/18 04/06/18 7:18 07:18 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE O. IGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 79580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weiaht 3320 LB QTY.° UNIT; - „DESCRIPTION - ° RATE EXTENSION FEE, TOTAL~ 21.66 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 1i Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,a� ' " � 0.00 NEXT HOLIDAY: Memorial Da Monday, May 28 g TENDERED Y, Y. Y CHANGE CHECK NO. SIGNATURE SITE TICKET •-GRID ' WEIGHMASTER "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01352526 Liz H PO BOX 962/6155 COX LaneDATE IN ,TIME OUT VEHICLE '_; ROLLOFF �', DATE OUT T[ME IN Cutchogue, NY 11935 04/06/18 04/06/18 7:18 107:18 111 14T 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 79580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB QTY _ UN - DESCRIPTION RATE EXTENSION FEE _ TOTAL• 21.66 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 f.. Operating hours 7:00 AM to 5:00 PM 7 days a week,�P CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4'?Z:,- -- r y '3 0.00 NEXT HOLIDAY: Memorial Da Y Y Y 28, Monda , May n TENDERED ��c� `�_ 7777CHANGE CHECK NO. ` SIGNATURE NO. 2030 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: o 1 ` o L� SHIP DATE: 4 1 COMMODITY SHIPPED: C. k l 'LOOSE: W (CU YDS) BALES: (COUNT): _ TRUCK WEIGHT: Iv GROSS 3 TARE Ll 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. Fes} * GENERATOR AUTHORIZED AGENT(PRINT NAME) `` "(SIGNATURE) RANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: # , ) Y 1 P I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS`PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION �I ; DISPOSAL LOCATION: - . 'i - '' DATE DELIVERED: 3 ADDRESS: I HEREBY CERTIFYTHAT"THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR �j GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. I "*DUPLICATE TICKET" SITE 'J- TICKET=;` GRID wEIGHMASTER SOOT-HOLD TOWN DEPT SOLID WASTE 01 1 01352529 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DAr IN DATE-OUT' " TtME IN TIME OUT VEHICLE' ROLL OFF 04/06/18 04/06/18 07:42 07:42 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 87240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wel ht 46840 LB QTY' - ', UNIT., DESCRIPTION `' RA?E >3 EXTENSfON, >=`FEE TOTAL 23.42 TON DUTGO.MSW 0.000 0.00 0.00 0.00 101 tF r ' »:, � Operating hours 7:00 AM to 5:00 PM 7 days a week.,','l — °r rt. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ltr; ;s raj TENDERED ,s . ,CH GKNO. "4 SIGNATURE `"DUPLICATE TICKET " SITE TICKET- e' GRID yWE'IGHMASTER''' SOUTHOLD TOWN DEPT SOLID WASTE 01 01352529 Liz H PO Box 962/6155 Cox Lane DAiE1N„ QAT£OUT TIME'IN„ TIME OUT 'VEHICLE.,.-' ROLL=OFF Cutchogue, NY 11935 `?` 04/06/18 04/06/18 07:42 07:42 19606TC REFERENCE 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 87240 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Npt Wpinht 46840 is QTY _- UNIT _ DESCRIPTION RATE EXTENSION `FEE TOTAL 23.42 TON UTGO.MSW 0.000 0.00 0.00 0.00 .... 'r Operating hours 7:00 AM to 5:00 PM 7 days a week Wiz. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'` 0 00 TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 j..' CHANGE CHECK NO. SIGNATURE 7 NO. 1797 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 ASS-UME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ;--�- COMPANY: if - SHIP DATE-i,', ' COMMODITY SHIPPED: = LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: oy GROSS o Ll TARE f- L! NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. I M !�• GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. a - TRUCK NO. ;`f LICENSE NO/STATE: TRAILER NO. f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ter_ DRIVER: j (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE_DELIVERED: ADDRESS: I HEREBY CERTIFYTHAT THE ABOVE MATERIAL HAS BEENACCEPTED 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--:,.-. -`. „ wEIGHMAsiR_' SOUTHOLD TOWN DEPT SOLID WASTE 01 01352629 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEJN . DATEOUT TIME-IN=TIME OUT VEHICLE' ROLL OFF 04/06/18 04/06/18 11:21 11:21 19606TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 85860 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 49640 LB QTY. UNIT- - DESCRIPTION -RATE EXTENSION -FEE TOTAL 24.82 TON DUTGO.MSW 0.000 0.00 0.00 0.00 ' ' Operating hours o ays a weeK: . 4 > ; CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.,12 4=w.~ "' 0.00 TENDEREDNEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET"* SITE - TICKET GRID wEIGHMASTER.§ SOUTHOLD TOWN DEPT SOLID WASTE 01 01352629 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE CUT' TIMEIN TIME OUT'w, ",VEHICLE :RQLLOFF'„"; 04/06/18 04/06/18 11:21 11:21 19606TC 009316 Town of Babylon REFERENCF Scale 2 Gross Wt. 85860 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 49640 LB ,UNIT " " FEE,;F' i, 1u"i DESCRIPTION RATE L;.' 24.82 TON UTGO.MSW 0.000 0.00 0.00 0.00 3# Operating hours 7:00 AM to 5:00 PM 7 days a week.'k ' _. ,.y, • P 9 y , 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.v NEXT HOLIDAY: Memorial Day, Monday, May 28 , E ` � TENDERED ` CHANGE CHECK NO. SIGNATURE NO. 1922 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: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �- GROSS 2 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.A000RDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. 4 _� 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: u (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. t a "DUPLICATE TICKET" SITE TICKET`" GRID _ WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01352646 Liz H PO Box 862/6155 Cox Lane -" --- Cutchogue, NY 11935 DATE ItV, DATE OUT _ _TIME IN TIME OC7T VEHICLE- ROLL OFF 4/06/18 4/06/18 1:53 1:53 111 14T 009306 Town of Brookhaven Waste Manag ORIGINREFERENC One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59000 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 20300 LB QTY UNIT' DESCRIPTION' RATE EXTENSION ` FEE TOTAL 0.15 TON Single Stream Recycl 15.000 152.25 0.00 152.25 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _ - R t..� 152.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 °` �;4t ;<� TENDEREW `CHANGE. CHECK NO;- SIGNATURE O:SIGNATURE "DUPLICATE TICKET" SITE '-_TICKET _`; '„ GRID VtlE1GHMASTER - SOUTHOLD TOWN DEPT SOLID WASTE 1 01352646 Liz H PO BOX 962/6155 COX Lane --DATE IN_`. DATE OUT '- TIME°IM TIME OUT --VEHICLE-- ROLL OFF Cutchogue, NY 11935 _ 4/06/18 4/06/18 1:53 1:53 11114TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59000 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB LB ''QTY-' UNtT"` DESCRIPTION RATE'" ;EXTENSION' FEE :TOTAti,•. 10.15 TON ingle Stream Recycl 15.000 152.25 0.00 152.25 Operating hours 7:00 AM to 5:00 PM 7 days a week. � `- � �° ±� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.49 152.25 ra ;TE00 NDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 '` I,"`�� "vim � `n CHANGE CHECK NO SIGNATURE NO. 2031 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: `-->u�� ► 1 �_ ,; SHIP DATE: d < } COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: / GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) f TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 5 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW r r DRIVER: (PRINT NAME) /`` (SIGNATURE) y ' ) DESTINATION � 1 DISPOSAL LOCATION: ,' �� {-�� `�� } , `.f` { � DATE DELIVERED: i k 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 �ISOUTHOLD TOWN DEPT SOLID WASTE 01 01352722 Dan X470 Box 962/6155 Cox Lane DATE IN. DATE OUT TIMEJN TIME OUT VEHICLE ROLL OFF Cutchogue, NY 11935 04/07/18 04/07/18 107:19 107:19 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 54620 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB e 18680 B QTY. UNIT= DESCRIPTION RATE_ EXTENSION , FEE TOTAL - 9.34 TON 3ingle Stream Recycl 15.000 140.10 0.00 140.10 Operating hours 7:00 AM to 5:00 PM 7 days a week CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685--_//,-,,.` v_.�.w a 140.10 NEXT HOLIDAY: Memorial Day, Monday, May 28 N - Pj, ,._.p �'," f `' TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" PITEj TICKET' _" GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01352722 Dan PO BOX 962/6155 COX Lane DAT&IN DATE OUT TIME IN- TIME OUT VEHICLE ROLLOFF Cutchogue, NY 11935 04/07/18 104/07/18 07:19 07:19 11114T 009306 Town of Brookhaven Waste Manag REFERENCE �. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 54620 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB KIM Wainht 18r-80 IR - QTY.- UNM DESCRIPTION RATE EXTENSION;' FEE 'TOTAL 9.34 TON 3ingle Stream Recycl 15.000 140.10 0.00 140.10 Operating hours 7:00 AM to 5:00 PM 7 days a week.' CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.E140.10 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE TICKET _ _ GRIDWEIGHMASTER - , SOUTHOLD TOWN DEPT SOLID WASTE 1 01352737 Dan PO BoX 962io 16-5 Cox Lane Cutchogue, NY 11935 DATE IN , DATE OUT TIME IN TIME OUT VEHICLE - ROLL OFF 4/07/18 4/07/18 8:15 1, 8:15 19606TC 009316 Town of Babylon REFERENCE 17777= Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43160 LB QTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 1.58 TON UTGO.MSW 0.000 0.00 0.00 0.00 tfic�. } Operating nours odays a wee . CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 _- NEXT HOLIDAY: Memorial Day, Monday, May 28 �m - � ". TENDERED CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE I TICKET. GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01352737 Dan PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ," DATE'OUT TIME IN TIME OUT VEHICLE ROLLOFF„ 1, 4/07/18 4/07/18 8:15 8:15 19606TC 009316 Town of Babylon REFERENCE •- Scale 2 Gross Wt. 78700 LB Outbound-Charge ticket Manual Tare Wt. 35540 LB Net Weight 43160 LB QTY UNIT.,- ,. DESCRIPTION RATE EXTENSION FEE TOTAL 1.58 TON UTGO.MSW 0.000 0.00 0.00 0.00 ,v 0-7-? ��si F Operating hours 7:00 AM to 5:00 PM 7 days a weep ` `� f • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �a o�; 0.00 Ne NEXT HOLIDAY: Memorial Day, Monday, May 28 HT �, TENDERED CHANGE- CHECK NO. = SIGNATURE "DUPLICATE TICKET" SITEj_ TICKET GRID WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01353376 Steph PO Box 962/6155 Cox Lane - -DATE IN DATE OUT TIME IN TIME,OUT --VEHICLE ROLLOFF Cutchogue, NY 11935 04/09/18 04/09/18 07:19 07:19 111 14T 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB - QTY. UNIT DESCRIPTION' RATE EXTENSION' FEE ::TOTAL 9.40 TON Single Stream Recycl 15.000 141.00 0.00 141.00 ��Jai ��-�.....„ •rr`�,�. `�., Operating hours 7:00 AM to 5:00 PM 7 days a week:, ,„ §',:§ ' • s - ,j CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,;L-, 141 00 NEXT HOLIDAY: Memorial Day, Monday, May 28 rs i, TENDERED CHANGE-- CHECK NO. SIGNATURE SITE TICKET GRID WEIGHMASTER "DUPLICATE TICKET`* SOUTHOLD TOWN DEPT SOLID WASTE 01 01353376 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT , VEHICLE ROLL OFF ." Cutchogue, NY 11935 04/09/18 04/09/18 07:19 07:19 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 59200 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB QTY 0 F4 ff DESCRIPTION RATE EXTENSION FEE TOTAL 9.40 TON Single Stream Recycl 15.000 141.00 0.00 141.00 l 6 t Operating hours 7:00 AM to 5:00 PM 7 days a week"; `= =' ^ '"` f , • P 9 Y ``�.: �.°�b CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �'- NEXT HOLIDAY: Memorial Day, Monday, May 28 � � TENDERED CHANGE CHECK NO SIGNATURE SITE _ ° TICKET' GRID', WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353428 Steph PO Box 962/6155 Cox Lane Cutchogue,NY 11935 DATE IN DATE OUT I TIME IN TIME OUT .° VEHICLE s ROLL OFF _ 04/09/18 104/09/18 10:00 10:00 111 14T 009306 Town of Brookhaven Waste Manag • One Independence Hill cE Farmingville NY 11738 Scale 2 Gross Wt. 68400 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Ne I Welcht 3246n LB - - QTY UNIT_ DESCRIPTION RATE EXTENSION - FEE :TOTAL " 16.23 TON OUTGO.CONST-CONTRACT 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 631-734-76851�a' NEXT HOLIDAY: Memorial Day, Monday, May 28 '6,'-"Y F"Ylgm ;a TENDERED ` > . » CHANGE i - CHECK NO. .-- SIGNATURE SITE "TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353428 Steph PO BOX 962/6155 COX Lane , DATE IN DATE OUT,, ,TIME IN TIME OUT _ 'VEHICLE,- ,ROLLOFF_ Cutchogue, NY 11935 04/09/18 04/09/18 10:00 10:00 111 14T i 009306 Town of Brookhaven Waste Manag REFERENCE • One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 68400 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB I , QTY. UNIT DESCRIPTION ,, RATE EXTENSION FEE_ TOTAL 16.23 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 ; .. All 4.r tk Operating hours 7:00 AM to 5:00 PM 7 days a wee .,°° 42e, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 /, NEXT HOLIDAY: Memorial Day, Monday, May 28 t t TENDERED CHANGE 1 CHECK NO.-_j SIGNATURE "DUPLICATE TICKET" SITE I; TICKET GRID - WEIGHMASTER ,SOUTHOLD TOWN DEPT SOLID WASTE 01 01353500 Steph PO Box 962/6155 Cox Lane DATE IN , DATE OUT TIME IN TIME OUT VEHICLE . ROLL OFF Cutchogue, NY 11935 04/09/18 04/09/18 12:48 12:48 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 48020 LB QTY. UNIT DESCRIPTION CRATE EXTENSION FEE —TOTA-- 24.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 �o 0. Operating hours 7:00 AM to 5:00 PM 7 days a weeks �" - ` `� - ' ;' .R: y` • 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" SOUTHOLD TOWN DEPT SOLID WASTE 01 01353500 Steph PO Box 962/6155 Cox Lane DATE IN ' DATE-OUT TIME IN TIME OUTI, VEHICLE ROLL OFF, Cutchogue, NY 11935 04/09/18 04/09/18 12:48 12:48 111 14T 009316 Town of Babylon REFERENCE .- FScale 2 Gross Wt. 88420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Ne Wpinht 4scm IR -=Q—TY - UNIT- DESCRIPTION RATE EXTENSION' FEE "" TOTAL 24.01 TON OUTGO.MSW 0.000 0.00 0.00 0.00 s a Operating hours 7:00 AM to 5:00 PM 7 days a week'. ,.,,_..,.•-*�,, ,�. �,� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685,/" = n on TENDERED'- NEXT HOLIDAY: Memorial Day, Monday, May 28 §l CHANGE,, i CHECK NO. SIGNATURE *`DUPLICATE TICKET"* SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353668 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT I TIME IN TIME OUTJ' VEHICLE I ROLL OFF 04/10/18 04/10/18 09:09 09:09 111 14T 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. 38700 LB Net Weight 20540 LB QTY. --UNIT DESCRIPTION _ RATE EXTENSION _ FEE r, TOTAL 10.27 TON Single Stream Recycl 15.000 154.05 0.00 154.05 47 RZ ,{{ t; �r'', Opera ing hours o 57UUTWFTaays a wee -. `t'µ IL T • CLOSED HOLIDAYS-QUESTIONS CALL 631-734May f 154.05 NEXT HOLIDAY: Memorial Day, Monday, May 28 �. �6 a ,� r; � t� TENDERED "c CHANGE CHECK NEE:j SIGNATURE ""DUPLICATE TICKET" SITE I "TICKET GRID WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01353668 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT =, . VEHICLE ROLL-OFF 04/10/18 04/10/18 09:09 109:09 11114TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE ORIGIN Farmingville NY 11738 i lScale 2 Gross Wt. 59240 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 20540 LB QTY UNIT DESCRIPTION RATE EXTENSION FEE. TOTAL 10.27 TON Single Stream Recycl 15.000 154.05 0.00 154.05 Ott S V F j ✓� 7 Operating ours 7:00 AM to 5:00 PM 7 days a week,; `:s r, T • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685., , 154.05 NEXT HOLIDAY: Memorial Day, Monday, May 28 ;, t.,. .., TENDERED ^ CHANGE --- CHECK HANGE _--CHECK NO SIGNATURE SITE I GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353745 Steph PO Box 962/6155 Cox Lane DATE_IN'' _DATE OUT TIME W_TIME OUT " VEHICLE `_ROLL OFF Cutchogue, NY 11935 04/10/18 04/10/18 13:36 13:36 11 114T 009316 Town of Babylon ' REFERENCE ORIGIN Scale 2 Gross Wt. 77320 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Ne Weiaht 4 060 LB QTY UNIT DESCRIPTION.- _ RATE EXTENSION FEE_ TOTAL 20.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 j ' f� Operating hours 7:00 AM to 5:00 PM 7 days a weeks, j 4 �g: .% � � • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �I w- n ' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 =A TENDERED. CHANGE CHECK NO. SIGNATURE ,S ,; ,ITE TICKET, ,:. GRID',, � � WEIGHMASTER, - SOUTHOLD TOWN DEPT SOLID WASTE 01 01353745 Steph PO BOX 962/6155 COX Lane DATE_IN DATE OUT_ TIME IN TIME OUT VEHICLE_ ROLLOFF Cutchogue, NY 11935 04/10/18 04/10/18 13:36 13:36 111 14T 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 77320 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB NP Wpiriht 41ngn IR 7 QTY: 'UNIDESCRIPTION - "RATE EXTENSION' FEE TOTAL ` 20.53 TON OUTGO.MSW 0.000 0.00 0.00 0.00 fl/ "4 3 y .. Operating hours 7:00 AM to 5:00 PM 7 days a wee - �g� �°',_ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ��,� ~�� = ' 0.00 NEXT HOLIDAY: Memorial Day, Y Y 28, Monda , May �`t 3 TENDERED CHANGE ' CHECK-NO r SIGNATURE NO. 2037 1 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS.b. t COMPANY: i I` SHIP DATE: COMMODITY SHIPPED: }}`� , LOOSE: I �' O (CU YDS) BALES: (COUNT): TRUCK WEIGHT: i 7 GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW_,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING=TCI APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) ,.� TRANSPORTER / f TRANSPORTATION/FREIGHT CO. % TRUCK NO. � LICENSE NO/STATE: TRAILER NO. I (i 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 DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION JA I )LDISPOSAL LOCATION: rbv 1 '-p i (`A e ��` f DATE DELIVERED: f f (' ` ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. STER "DUPLICATE TICKET" KSITEJ � TICKET GIRID WEIGHMA SOU1HOLD TOWN DEPT SOLID WASTE 01 01353930 Steph PO 6x 96A�55 Cox Lane ROLL OFF Cutchogue, NY 11935 DATE IN DATE OUT -,TIME 141 TIME�,OUT -YE�!OLE 009316 Town of Babylon 0��4/111/118 112:28 112:28 1 11 121TC I REFERENCE I I ORIGIN Scale 2 Gross Wt. 91340 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 52640 LB OTY. UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 26.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 uperating hours 7:06 TM to 5:010 PM 7 days a weeK.% -QUESTIONS CP CLOSED HOLIDAYS �1_1_631-734 &�z 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE I CHECK NO=� SIGNATURE "DUPLICATE TICKET" KSITE I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353930 Steph PO Box 962/6155 Cox Lane - - DATE IN DATEOUT -' TIME ft TIME,OUT V'EHICLE ROLL OFF ' Cutchogue, NY 11935 04/11/18 04/11/18 12:28 12:28 11 121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 91340 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weiaht 52640 LB _QTy.- UNIT- DESCRIPTION RATE EXTENSION . FEE TODJ.TAL � 26.32 TON OUTGO.MSW 0.000 0.00 0.00 0.00 ,Z41 j, �A Operating hours 7:00 AM to 5:00 PM 7 days a week',� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 -TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 ',�_A, U C ANGE" CHECK N!�j SIGNATURE "`DUPLICATE TICKET*" SITE =TICKET GRID :.WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353830 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN, :DATE OUT TIMEIN TIMEOUT -''-•VEHICLE ROLLOFF- H5 04/11/18 04/11/18 08:59 08:59 11121TC 009316 Town of Babylon � � • Scale 2 Gross Wt. 81940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 45720 LB QTY UNIT.; ,- DESCRIPTION; -` RATE EXTENSION FEE. TOTAL 22.86 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 .TENDERER CHANGE CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE ' TICKET-_ GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01353830 Steph PO Box 962/6155 Cox Lane DATE w DATE OUT TIME Iid,TIME OUT' VEHICLE ROLLOFF, Cutchogue, NY 11935 04/11/18 04/11/18 08:59 08:59 11121 TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 81940 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net-Weioht 45720 LB QTY UNIT -DESCRIPTION' RATE EXTENSION FEE TOTAL . 22.86 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 ;TENDERED ` NEXT HOLIDAY: Memorial Day, Monday, May 28 f -'CHANGE' - CHECK NO SIGNATURE NO. 2008 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 LA-) +` SHIP DATE: ( ' �} COMMODITY SHIPPED: 1 LOOSE: } ` (CU YDS) BALES:(COUNT): _ TRUCK WEIGHT: 1 1 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 ij TRANSPORTATION/FREIGHT CO. + ` r � TRUCK NO. `' LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LIED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW f, DRIVER: ' r` f (PRINT NAME) F z- (SIGNATURE) DESTINATtON/ DISPOSAL LOCATION: f V r % t 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. 719KET- �SJTEJ` M STEft "DUPLICATE TICKET" -'kTUTH0LD TOWN DEPT SOLID WASTE )1 01354214 Liz H PO Box 962/6155 Cox Lane26K Cutchogue, NY 11935 TE, -,n iii rine our;u vEHic {�oa t pff D4/12/18 04/12/18 12:08 2:08 11121 TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingville NY 11738 —7 Scale 2 Gross Wt. 64860 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 24460 LB QTY.' ',UNIT- '�-`JDUENSION JOT 12.23 TON Single Stream Recycl 15.000 183.45 0.00 183.45 L Operating hours 7:00 TIVI to 5:0d Fm I days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 183.45 NEXT HOLIDAY: Memorial Day, Monday, May 28 'TENDERW",;,",-� CHANQE'',-'- ' CHJEQKNQ��—j SIGNATURE "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01354214 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 N 'T' I'T, Oblfj",," '*ibLE Rou CiFF 04/12/18 04/12/18 12:08 12:08 11 121TC 009306 Town of Brookhaven Waste Manag REFERENCE ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 64860 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 24460 LB OTY �P FE'� DES RIPTION ATE'�- EXTENSION:', TOTAL'," C 12.23 TON 3ingle Stream Recycl 15.000 183.45 0.00 18345 Operating hours 7:00 AM to 5:00 PM 7 days a week., CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 183.45 NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE CHC NO> SIGNATURE r NO. 2011 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 SHIP DATE: COMMODITY SHIPPED: e C LOOSE: II (-' i , (CU YDS) BALES: (COUNT): TRUCK WEIGHT: k" F GROSS Q C` CI � ( TARE Qc. Cf 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 TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) ' TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. . �-y -% LICENSE NO/STATE: TRAILER NO. ,I I LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE;`AND THAT IT WAS ! DELIVERED WITHOUT INCIDENT"TO THE DESTINATION LISTED BELOW. ✓h Y f DRIVER: - ' s (PRINT NAME) ,--(SIGNATURE) ? DESTINATION DISPOSAL LOCATION: 0 " ` / DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "*DUPLICATE TICKET" ,SITE- TICKET GRID ._1NEIGHMASTER- SOUTHOLD TOWN DEPT SOLID WASTE 01 01354142 Liz H PO Box 062/6155 Cox Lane Cutchogue, NY 11935 DATE IN _ .DATE-OUT'- TIME IN" TIME OUT VEHICLE`a`" -ROLL OFF ` 04/12/18 04/12/18 09:24 09:24 11121TC 009306 Town of Brookhaven Waste Manag REFERENCE One Independence Hill ORIGIN Farmingville NY 11738 Scale 2 Gross Wt. 75880 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Weight 39620 LB QTY. UNIT DESCRIPTION RATE . _ EXTENSION FEE NOTAL- 19.81 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Y {e S t Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7686. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 r TENDERED , -CHECK NO. SIGNATURE *"DUPLICATE TICKET** SITE " TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01354142 Liz H PO Box 962/6155 Cox Lane DATE IN I DATE OUT TIME IN TIME OUT VEHICLE- RI LL OFF- Cutchogue, NY 11935 04/12/18 04/12/18 09:24 09:24 11 121TC 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE • Farmingville NY 11738 Scale 2 Gross Wt. 75880 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 39620 LB QTY. .. UNIT DESCRIPTION , RATE' EXTENSION FEE - 7TOTAL 19.81 TON OUTGO.CONST-CONTRACT 0,000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week,, CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.- , 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED- CHANGE ' s -CHECK NO. SIGNATURE NO. 2010 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 dSSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: �" LAT 1 0 u ``� SHIP DATE: ) ` ' COMMODITY SHIPPED: c LOOSE: -' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) - TRANSPORTER TRANSPORTATION/FREIGHT CO. € 1,(\j 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. d 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. A_ 3� - "`DUPLICATE TICKET" w SOUTHOLD TOWN DEPT SOLID WASTE 01 01354384 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 04/13/18 04/13/18 07:13 07:13 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 60200 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 21500 LB 10.75 TON Single Stream Recycl 15.000 161.25 0.00 161.25 I j Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 161.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01354384 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 04/13/18 04/13/18 07:13 07:13 11 121T 009306 Town of Brookhaven Waste Manag One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 60200 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 21500 LB 10.75 TON Single Stream Recycl 15.000 161.25 0.00 161.25 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 161.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 GRID I WEIGHkAST "DUPLICATE TICKET" SIlE ''TICKET SOUTHOLD TOWN DEPT SOLID WASTE 01 01354509 Liz H Pb Boz 962/6155 Cox Lane 11 1 DATE IN', DATA OUT Ti MON, Ti ME"Ply'T' , '�''-',VEHiCLE 60F': Cutchogue, NY 11935 04/13/18 04/13/18 12:01 12:01 19640TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83100 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 47160 LB "FEE TOTAL', ', DESCRIPTION- -,,RATE.,,,,' T ='EXTENSION',Q ry. UNIT" ,,_ A ,QTY 23.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Zrl 4 Operating hours 7:00 AM to 5:00 PM 7 days a week" Mew CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED, CHECK IN SIGNATURE "DUPLICATE TICKET" „SITE TICKET; ,WEIG"MAST SOUTHOLD TOWN DEPT SOLID WASTE 01 01354509 Liz H PO Box 962/6155 Cox Lane DATE"IN IN, ,DATE-OUT -OPT �,TIIVIE IN TIME-OUT',, VEHICLE Cutchogue, NY 11935 ill ,'1, 1 1 I 04/13/18 1 04/13/18 12:01 1 12:01 19640TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83100 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei ht 47160 LB EX 'TQ QTY. UNIT---' DESCRIRTION RATE (TENSION TAL -QTY FEE 23.58 TON OUTGO.MSW 0.000 0.00 0.00 0.00 2-el Operating hours 7:00 AM to 5:00 PM 7 days a week AIIIIIIIIIII kq I a MAI AA 0.0 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 0 A TENDEREDNEXT HOLIDAY: Memorial Day, Monday, May 28 7_?!_HANGE- 4 CHEGWNE�l SIGNATURE NO. 1889 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: (L' {' GROSS f` { TARE Ll � `. �_ �` 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.ACCOR DING Ta APPLICABLE REGULATION. s GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: ` I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: 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 GRIL) wEtGl MAsr R - 9OUTHOLD TOWN DEPT SOLID WASTE 01 01354467 Liz H PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 ATE--INonriME IN TIME OUT VEHICLE ROLL,' 04/13/18 04/13/18 10:52 10:52 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB Net Wei ht 44320 LB - EE TOTAL DESGRRTE EXTENSION- QTY' ' 22.16 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 C GE ., -CHECK NO SIGNATURE "DUPLICATE TICKET" SITE 'TICKET , . GRID- -WEIGHMAS7ER; , SOUTHOLD TOWN DEPT SOLID WASTE 01 01354467 Liz H PO Box 962/6155 Cox Lane DATE IN,- DATE OUB .TIME 11+ TIME flUT 1(EHICLE ROLL OFF,- Cutchogue, NY 11935 04/13/18 04/13/18 10:52 10:52 11121TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 80580 LB Outbound-Charge ticket Manual Tare Wt. 36260 LB NP Wi-iriht -1 B QTY,= UNIT DJ SCI3tPTiON- RATE, EXTENSION FEE TOTAL 22.16 TON OUTGO.MSW 0.000 0.00 0.00 0.00 s Operating hours 7:00 AM to 5:00 PM 7 days a week:. , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. Tn nn ENDERED __ . NEXT HOLIDAY: Memorial Day, Monday, May 28 tCHECK N - SIGNATURE NO. 1772 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES,ISOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: .� �- �; r� �' ' SHIP DATE- < i COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: /' 4} GROSS >> `- r- • - TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) :TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2- LICENSE NO/STATE: TRAILER NO. �� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEDSABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW r DRIVER. (PRINT NAME) �v` (SIGNATURE) f; DESTINATION DISPOSAL LOCATION:A �` �: l 1' � I -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. ""DUPLICATE TICKET"" -SITE TICKET -_ ,GRID WEIGHMASTER -SOUTHOLD TOWN DEPT SOLID WASTE 01 01354400 Liz H PO Box 962/6155 Cox Lane - _ ROLL OFF; DATE IN,,;'';,DATE OUT;, ,TIME=1N TIME OUT- z, VEHICLE _, Cutchogue, NY 11935 - 04/13/18 04/13/18 08:15 08:15 19640TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 88280 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 51660 LB QTY UNIT , DESCRIPTION _ RATE = EXTENSION "_FEE TOTAL - 25.83 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week "T - ` ." r • 0.00 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ' , TENDERED =, NEXT HOLIDAY: Memorial Day, Monday, May 28 p `&, , �x r CHANGE CHECKN SIGNATURE *"DUPLICATE TICKET"' SITE _-- TICKET _,- GRID WEIGHMASTER-- ' SOUTHOLD TOWN DEPT SOLID WASTE 01 01354400 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN'' DATE'OUT,'' TIME IN,,.TIME OUT i" ;VEHICLE •+ ROLL"OFF= ` „U 04/13/18 04/13/18 08:15 08:15 19640TC 009316 Town of Babylon REFERENCE . Scale 2 Gross Wt. 88280 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB =:QTY' UNIT°> = DESCRIPTION RATE EXTENSION, " FEE _. TOTAL`., 25.83 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. NEXT HOLIDAY: Memorial Day, Monday, May 28 � ,CHANGE, C ECKNO-.- SIGNATURE NO. 1888 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 HEREBY 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: s ,'- 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. -- - i DRIVER: -- - --= (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: ` u ;�- ., DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE 4 ;TICKET GRID WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01354701 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _DATE OUT: TIME IN TIME OUT VEHICLE " ROLL OFF 04/14/18 04/14/18 07:21 07:21 11121TC 009316 Town of Babylon REFERENCE ORGIN r Scale 2 Gross Wt. 81500 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 45280 LB QTY. UNIT, ` DESCRIPTION °s 'RATE ,EXTENSION" `FEE TOTAL" 22.64 TON OUTGO.MSW 0.000 0.00 0.00 0.00 .�='z '. K' ` J I. Operating hours 7:00 AM to 5:00 PM 7 days a weeki A, A,. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. v � __- HI£„ aK 0.00 NEXT HOLIDAY: Memorial ,Day, Y Y Monday, May 28 ” : ,;= TENDERED„ � ,�(((t t,, ;� CHANGE '-CHECK NO. SIGNATURE SITE '''i wr TICKET„ -r"GRID=" ;`°+ "`1NEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 01 01354701 Steph PO Box 962/6155 Cox Lane DATE IN+° '_DATE'but -TIME INk',TIME OUT, ",VEHICLE `- Cutchogue, NY 11935 04/14/18 04/14/18 07:21 07:21 11121TC 009316 Town of Babylon REFERENCE �. Scale 2 Gross Wt. 81500 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB „,.QTY., `UNIT` = DESCRIPTION.; RATE,;_.'. EXTENSION FEE' TOTAL 22.64 TON OUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week: c „`�•"- ,£a,, ' t CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.< "'� - _ "- � 0 r3 ' ' ;d TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 CHANGE. SIGNATURE NO. 1771 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: - + If 1 �1 SHIP DATE: COMMODITY SHIPPED: °"1 I LOOSE: L/ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: „' L` 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 TQ APPLICABLE REGULATION. a GENERATOR AUTHORIZED AGENT(PRINT NAME) J (SIGNATURE) fj. TRANSPORTER TRANSPORTATION/FREIGHT CO. 1 � i ��J L �A 1� TRUCK NO. -a .LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) j (SIGNATURE) DESTINATION , f f 1 DISPOSAL LOCATION: �� + 'J f : (\j f f �-A!I L�f' /DATE DELIVERED: ADDRESS: 1 I HEREBY CERTIFY THAT THE ABOVE MATERIAL,HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE TICKET GRID-, WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01355571 Steph PO Box 962/6155 Cox Lane ,_.., ' Cutchogue, NY 11935 - DATE IN', -DATE OUT` " TIMEIN TIME OUT VEHICLE` = - =ROLL OFF 64/16/18 04/16/18 09:42 09:42 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE •� Farmingville NY 11738 Scale 2 Gross Wt. 63100 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 26880 LB QTY UNIT DESCRIPTION,-=v,,, ., '" RATE '.EXTENSION, :, FEE ":TOTAL„ 13.44 TON Single Stream Recycl 15.000 201.60 0.00 201.60 ° Opera Ingours odays a wee ._g =�> L .__ ., • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , �_;�_ 201.60 NEXT HOLIDAY: Memorial Day, Monday, May 28 �: r '` ? - . TENDERED °°�� a �, -CHANGE CHECK O. SIGNATURE SITE ;," °TIGKETGRID 1NEIGHMASTER„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01355571 Steph PO Box 962/6155 Cox Lane -- - - - Cutchogue, NY 11935 DATE.IN -DATEOUT TIMEIN TIME OUT --, VEHICLE ROLLOFF ,;: 04/16/18 04/16/18 09:42 09:42 11121TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 63100 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 26880 LB 7 QTY. RATFEE' TOTAL, %; 13.44 TON Single Stream Recycl 15.000 201.60 0.00 201.60 1.1 Operating hours 7:00 AM to 5:00 PM 7 days a week f% 3 .__f.- - / u'e • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,`e 201.60 ' - ^"' °" a� r -TENDERED=.f NEXT HOLIDAY: Memorial Day, Monday, May 28 Jr., <® , -- M GE -" CHE Kx SIGNATURE NO. 1769 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. 4 COMPANY: l Imo! s i ; } SHIP DATE: � t •-- COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) , TRANSPORTER TRANSPORTATION/FREIGHT CO. N I TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED-ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) r r' DESTINATION a DISPOSAL LOCATION: / — ' ' ti� a 8 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 _ TIGKEr GRID WEIGHN1ASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01355559 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 DATE"IN,, y'.DATE-OUT.4 TIME IN`,TIME OUT'' " VEHICLE ROLL OFFc _ 04/16/18 04/16/18 07:18 07:18 11121TC 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE • Farmingville NY 11738 Scale 2 Gross Wt. 58880 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 22260 LB QTY _ UNIT= DESCRIPTION - RATE EXTENSION -FEE TOTAL 11.13 TON Single Stream Recycl 15.000 166.95 0.00 166.95 171 Opera Ing hours odays a wee '.-' Ll I • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76,85. �F 166.95 NEXT HOLIDAY: Memorial Day, Monday, May 28J,"° ` _ TENDERED° CHANGE. CHECK NO.- --j SIGNATURE SITE _= TICKE( '= GRID WEIGHMASTER- _�: SOUTHOLD TOWN DEPT SOLID WASTE 01 01355559 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN- DATE,OUT TIMEilN,'TIME OUT "VEHICLE ,,ROLLOFF 04/16/18 04/16/18 07:18 07:18 11121 TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58880 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei ht 22260 LB QTY-r UNIT DESCRIPTION:-_-` RATE FEE`_ TOTAL 11.13 TON Single Stream Recycl 15.000 166.95 0.00 166.95 Operating hours 7:00 AM to 5:00 PM 7 days a week :";; k a _ . '., ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.4,!_ p `�- } �� : 166.95 NEXT HOLIDAY: Memorial Day, Monday, May 28 { ;;,,,TENDERED,- 1, CHECKNO1 SIGNATURE NO. 1770 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. k COMPANY: 0 1 ,' SHIP DATE: �' ► COMMODITY SHIPPED: c LOOSE: t` _ (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS - �-f TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION J �- f GENERATOR AUTHORIZED AGENT(PRINT NAME) ' (SIGNATURE) TRANSPORTER .,,-� •� 1 r5J w� t TRANSPORTATION/FREIGHT CO. i ) • �', TRUCK NO. s- LICENSE NO/STATE: TRAILER NO. w� 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. d..�•_. 1 r d DRIVER: (PRINT NAME) (SIGNATURE) j DESTINATION 4 DISPOSAL LOCATION: '- I DATE DELIVERED: C ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET** SITEriCKET., Gfttpv+i>rI MASE A r SO&HOLD TOWN DEPT SOLID WASTE 1 01355593 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 Dart:iry „ DATE 6U` TIME t[�4 TIME OU VEHICLE_;t ` iso l c1 04/16/18 04/16/18 12:46 12:46 11121 TC 009316 Town of Babylon ORIGIN Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 37700 LB QTY': : UN{T DESCRIPTION.- `RRTE EXTENStOIV "FEE_ TOTAL"W,' 18.85 TON CUTGO.MSW 0.000 0.00 0.00 0.00 Operag ours o 5.0d PRI 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 TICtCEt GRID ItIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 31 01355593 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE ISI b46 OUT *[ME IN TIME-OUT VEHICLE _ RC3LC OFF 4/16/18 4/16/18 2:46 112:46 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 78100 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 37700 LB QTY.-" UNIT DESCRIKION RATE- - EXTENSION., FEE. ". TOTAL 18.85 TON QUTGO.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 m`-=TENDEREt�'. '77 HANGE- _-CHF K N0:- SIGNATURE m a• NO. 1760 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'ASS/U,ME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: V ` ' ! L �� SHIP DATE: t COMMODITY SHIPPED: LOOSE: t) t� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: p ; ' GROSS TARE i u NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , w^n it TRUCK NO. _� LICENSE NO/STATE: TRAILER NO. �! f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW.- 1 f f DRIVER: "`---� 0 �--' .:•� (PRINT NAME) ,/� (SIGNATURE) (DESTINATION DISPOSAL LOCATION: 0-- �/ I I ! " � � fJ 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: WED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE TE TO DISPOSAL LOCATION J TO TRANSPORTER TO TRANSPORTER. =ENERATOR cNERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET`* SITE TICKET WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 1 01355854 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ,_ DATE OUT TIME IN TIME OUT ' VEHICLE , ROLL OFF 4/17/18 4/17/18 5:35 5:35 19640TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 36240 LB Net eight 44300 LB QTY. UNIT DESCRIPTION RATE EXTENSION - FEE TOTAL 2.15 TON QUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.Z `" ,;� w - ° • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ~~ v" ''`" � TENDERED- ' CHANGE" CHECK NO. SIGNATURE "DUPLICATE TICKET" .SITE TICKET- I GRID -_` WEIGHMASTER_ ` SOUTHOLD TOWN DEPT SOLID WASTE Di 01355854 Steph PO BOX 962/6155 COX LaneDATE IN DATE OUT '. ,lIME IN' TIME'OUT ,VEHICLE-., ROLL OFF-,' Cutchogue, NY 11935 4/17/18 04/17/18 15:35 15:35 19640TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 80540 LB Outbound-Charge ticket Manual Tare Wt. 36240 LB KIM Wpiaht 44300 LB QTY.-- UNIT DESCRIPTION°'` RATE -EXTENSION FEE- TOTAL>--_ 22.15 TON CUTGO.MSW e� 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 NO. 1899 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: -' SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `-�f'' f GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. 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: 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__:-= `FGRID` - WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 1 01355685 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE.IN, DATE OUT " -TIME IN'TIME OUT -VEHICLE,,,, -, OIL' ROFF 4/17/18 4/17/18 0:11 0:11 19640TC 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 41000 LB QTY' UNIT DESCRIPTION .• i> RATE EXTENSION FEE TOTAL 0.50 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 //{i�fj lye nY� •• �'_ "i 'wTp�+C� Operating hours 7:00 AM to 5:00 PM 7 days a week. ° _ ;`, M^ �, �''r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ~ ' t r 4� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 y TENDERED CHANGE. ' .. CHECK O: SIGNATURE "DUPLICATE TICKET" SITE TICKET ,GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01355685 Steph PO Box 962/6155 Cox Lane DATE INS; „ DATE OUT , 'TIME IN TIME OUT,,, -VEHICLE ROLL OFF ° °- Cutchogue, NY 11935 4/17/18 4/17/18 0:11 0:11 19640TC 009306 Town of Brookhaven Waste Manag _ REFERENCE One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt. 77620 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Wei 41000 LB QTY. UNIT. - DESCRIPTION RATE EXTENSION - FEE TOTAL 20.50 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 iN � t Operating hours 7:00 AM to 5:00 PM 7 days a week. q � a ._.s ` - °; ' �� r OIJIM CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. �' � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 � u TENDERED v CHANGE CHECK NO. :) SIGNATURE NO. 1890 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 j SHIP DATE: COMMODITY SHIPPED: `* LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: % f` _` GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PAST-26-1-OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION F,OR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION r GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. n LICENSE NO/STATE: TRAILER NO. i �� LICENSE NO/STATE: f ' 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: r ' ADDRESS: HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. **DUPLICATE TICKET" SITE TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01355634 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE_OUT TIME IN TIME OUT VEHICLE ROLL OFF 4/1'7/18 04/17/18 7:28 07:28 19640TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 61300 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net Weight 24680 LB QTY. UNIT DESCRIPTION - RATE EXTENSION FEE TOTAL 12.34 TON 3ingle Stream Recycl 15.000 185.10 0.00 185.10 Operating hours 7:00 AM to 5:00 PM 7 dys a w aeek. °"A :_.: - .�.- - � ' ,Vis", ��I • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. y 185.10 NEXT HOLIDAY: Memorial Day, Monday, May 28 i'�, TENDERED CHANGE- CHECK NO. SIGNATURE **DUPLICATE TICKET" SITE i I TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 31 01355634 Steph PO BOX 962/6155 COX LaneDATE'IN, "DATE OUT TIME IN TIME OU7 ` `.VEHICLE ROLLOFF,,,., Cutchogue, NY 11935 4/17/18 4/17/18 7:28 7:28 19640TC 009306 Town of Brookhaven Waste Manag REFERENCE _ One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt. 61300 LB Outbound-Charge ticket Manual Tare Wt. 36620 LB Net eight 24680 LB xQTY UNIT = DESCRIPTION RATE EXTENSION FEE TOTAL 12.34 TON Single Stream Recycl 15.000 185.10 0.00 185.10 Operating hours 7:00 AM to 5:00 PM 7 days a week. _ " L"" ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-768,5.,`" w 185.10 NEXT HOLIDAY: Memorial Day, Monday, May 28i TENDERED- '' � ij `vI j CHANGE . CHECK N0: SIGNATURE NO. 1891 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. j.. 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. I f 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 I GRID I WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01355909 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ,-DATE IN -DATE OUT` TIME IN`-TIME OUT , VEHICLE ROLLOFF 04/18/18 104/18/18 107:24 107:24 1 11114TC 009316 Town of Babylon , REFERENCE •- L -7 Scale 2 Gross Wt. 102060 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB FQT7__y -_' Net Weight 65840 LB .UNIT, DESCRIPTION RATE EXTENSION _ FEE_ -TOTAL 32.92 TON UTGO.MSW 0.000 0.00 0.00 0.00 j 1 Operating hours 7:00 AM to 5:00 PM 7 days a week: ., . {�' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 ' �i` µ �& ; 0.00 NEXT HOLIDAY- Memorial Day, Monday, May 28 y{(¢� (. > �p, TENDERED :CHANGE CHECK NO: SIGNATURE "DUPLICATE TICKET" SITE _ TICKET,. .-. GRID, ::,' ;, ."'WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01355909 Steph PO BOX 962/6155 COX Lane DATE IN DATE000T TIME IN-TIME OUT VEHICLE .ROLLOFF = Cutchogue, NY 11935 04/18/18 04/18/18 cE 07:24 107:24 111 14T REFERENCE 009316 Town of Babylon •- Scale 2 Gross Wt. 102060 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 65840 LB QTY' -' UNIT DESCRIPTION RATE "EXTENSION FEE. TOTAL _ 32.92 TON UTGO.MSW 0.000 0.00 0.00 0.00 1 1 ' Operating hours 7:00 AM to 5:00 PM 7 days a week. °� 4 _ e. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.' _a., - �e ' :� 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 'x $' ` r - ` � 'f TENDERED CHANGE CHECK NO.' SIGNATURE NO. 1763 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. _ r COMPANY: � MM I c �- i ) SHIP DATE: I COMMODITY SHIPPED: LOOSE: i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r ` '' GROSS f' ? TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ-APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER r' TRANSPORTATION/FREIGHT CO; /�n 11V ) TRUCK NO. LICENSE NO/STATE: TRAILER NO. ; `2 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. ' DRIVER: (PRINT NAME) {� ;-� (SIGNATURE) s , DESTINATION DISPOSAL LOCATION: ; f i ! ll -�l f`' �' _ DATE DELIVERED: J ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED- IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. * DUP-KATE TICKET** stTE Ttcx _' GRtD. wEiia"I�MASTR` -h `.:'r �., �, SOUTHOLD TOWN DEPT SOLID WASTE 1 01356334 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DArE IN'--; n_RATE QUT„ !MEIN TiMi oui _ VEHICLE,; r"'"ROL+�OFF 4/19/18 4/19/18 1:58 1:58 11121TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 91800 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 53100 LB QTY UNIT_ - DESCRIP710N- RATE1ETENStON FEE TOTAL - 6.55 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to b:UU 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** rSITEI 'TICKET'',_- -'GRID wEIGHMASTER . SOUTHOLD TOWN DEPT SOLID WASTE 01 01356334 Liz H PO Box 962/6155 Cox Lane 041i IN, DATE OUT,.. TIME IN TIME OUT VEHICLE_ I ROLL OFF- Cutchogue, NY 11935 4/19/18 04/19/18 11:58 11:58 11121TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 91800 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 53100 LB QTY_" UNIT' -DESCRIPTION RATE EXTENSION; FEE TOTAL- 26.55 TON CUTGO.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 631-734-768.5. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 77777URNW,1111, E SIGNATURE :r NO. 1765 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: 4 COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: G �' GROSS `Y TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION 1 „ GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER r' } TRANSPORTATION/FREIGHT CO. i `t j l Ai, ,t TRUCK NO. `1 LICENSE NO/STATE: TRAILER NO. { f LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED,ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: 41 (PRINT NAME) ms's (SIGNATURE) a` DESTINrATION� ; DISPOSAL LOCATION: _ oy /'t. �' t J 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"* SIiE -- TICKET SOUTHOLD TOWN DEPT SOLID WASTE 01 01356447 Liz H PO Bbx 962/6155 Cox Lane _ CutchOgue, NY 11935 [?ATEtN'. -?,DAIEAU3 TIMEIN'7nmEOUTI vEkCLE --,ROIJL6FI - ; 04/20/18 04/20/18 07:28 07:28 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE •. Farmingville NY 11738 Scale 2 Gross Wt. 55860 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 19920 LB QTY UNIT DESCRIPTION "_ :'IRATE -,,-- EXTENSION`: `` .FEE- = -TOTAL 9.96 TON 3ingle Stream Recycl 15.000 149.40 0.00 149.40 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 149.40 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED, ,CHANGE CHECK N . ' SIGNATURE SITE TICKET- Gob 4 WEIGFIMA$TER "DUPLICATE TICKET"* SOUTHOLD TOWN DEPT SOLID WASTE 01 01356447 Liz H PO Box 962/6155 Cox Lane DATEIN, - DATE OUT TIMEltd TIMI OUT VEHICLE ROLLOFF Cutchogue, NY 11935 04/20/18 04/20/18 07:28 07:28 11121 TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 55860 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB QTY UN DESCRIPTION.- RATE EXTEN$ION FEE- -TOTAL- 9.96 TON 3ingle Stream Recycl 15.000 149.40 0.00 149.40 VA 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 CHECK-NO.- SIGNATURE s "* NO. 1766 GENERATOR THIS MANIFEST IS FOR REFERE[VCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. }! COMPANY: J O LA ! 'l� �. 1 SHIP DATE: ! 2 v j COMMODITY SHIPPED: LOOSE: �- '��`' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `= r GROSS �2• `, t� TARE 'f NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) -(SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. i TRUCK NO. LICENSE NO/STATE: TRAILER NO. .r LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKEDyUP AT THE GENERATOR SITE OSTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: (PAINT NAME) f (SIGNATURE) DESTINATION DISPOSAL LOCATION: -� 1 � L_i`' ) , DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. r "DUPr KATE TICKET** SITE TICKET H GRID- = MASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01356503 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE_IN DATE OUT' TIME IN TIME_OUT VEHICLE -_ROLLOFF 04/20/18 04/20/18 10:13 10:13 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE • Farmingville NY 11738 Scale 2 Gross Wt. 85520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 45120 LB QTY UNIT-, DESCRIPTION. RATE EXTENSION ° E".'FEE> ,, .-';, C,°TOTAL, 22.56 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 a _ s t ? s Operating hours odays a wee .-, ' S14± _yam•"y, ` , • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. . '' w 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED -_ CHANGE CHECK NO9 SIGNATURE **DUPLICATE TICKET ` SfTE TICKETGRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01356503 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME,IN TIME OUT VEH, FF ICLE, ROLL O 04/20/18 04/20/18 10:13 10:13 11121 TC 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE CE Farmingville NY 11738 Scale 2 Gross Wt. 85520 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 45120 LB ,;,;i AWY. ',t; .,,,,,,., UNIT '''„' .+ ; DESCRIPTION RATE , EXTENSION' FEE; TOTAL'” 22.56 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 000 2 ZA Y N I,`y {qq t Operating hours 7:00 AM to 5:00 PM 7 days a week:0. v_ ` ?, ,;"}fs • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.�� _. : 0.00 NEXT HOLIDAY: Memorial Day, Monday, Ma � P TENDERED y 28 _ HA GE .'CHEC KNO.'s - SIGNATURE NO. 1768 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: �)r`' tit 7 r u, �-I ) SHIP DATE: L' ! 1 COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: f ' =' ' % GROSS 4 (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 F GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ! ( l V 1, TRUCK NO. "-- J LICENSE NO/STATE: TRAILER NO. 11 l LICENSE NO/STATE: t ° 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: o c (PRINT NAME) (SIGNATURE) rr -1 - DESTINATION DISPOSAL LOCATION: �1 ` zf DATE DELIVERED: I 1_ Ca (� ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED w 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. 'DUPzJCATE TICKET"* SITE = .TICKET GRID• WEIGHMASTER , _- SOUTHOLD TOWN DEPT SOLID WASTE 01 01356609 Liz H PO Box 962/6155 Cox Lane _ Cutchogue, NY 11935 `DATE IN DATE OUT TIME IN-TINIE_OCJT VEHICLE ROLLOFF 04/20/18 04/20/18 13:19 13:19 11121TC 009316 Town of Babylon REFERENCE FScale 2 Gross Wt. 92460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 56240 LB OTYUNIT„ DESCRIPTION- RATE EXTENSION , FEE" = „TOTAL°„ 28.12 TON DUTGORSW 0.000 0.00 0.00 0.00 JL € s Operating hours 7:00 AM to 5:00 PM 7 days a week'�3z ° �. _ '" ? • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.e: � 0.00 TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 ,q ,,^ ° mr CHANGE ,,"CHECK N .` SIGNATURE *"DUPLICATE TICKET** siTE ;,,T, KE r. GRID .,, ,' ,WEIGEiMasr R„ SOUTHOLD TOWN DEPT SOLID WASTE 01 01356609 Liz H PO Box 962/6155 Cox Lane DATE IN --DATE OUT TIME IN TIME OUT „ VEHICLE '_ROLL OFF Cutchogue, NY 11935 04/20/18 04/20/18 13:19 13:19 11121TC 009316 Town of Babylon REFERENCE ' 0. Scale 2 Gross Wt. 92460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB NP Weicht 56240 LB 7 QTY' "s° "UNIT" ',,'DESCRIPTION RATE F�CTEN510N' FEE TOTAL'' 28.12 TON DUTGO.MSW 0.000 0.00 0.00 0.00 B s is"f t Operating hours 7:00 AM to 5:00 PM 7 days a week. * -<-F j `'--_ ' ° ' " ref • . , _ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.` *-a, ,* '� ---•- U t � 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 _ _ "� rTENDERED'" ' .E`.1- CHANGES, "°CHE KN �-� SIGNATURE NO. 1767 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_T ffASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: V V', 1 r f �% L SHIP DATE: COMMODITY SHIPPED: VIV-1' LOOSE: J (CU YDS) BALES: (COUNT): ,r TRUCK WEIGHT: C ti r' GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260 10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , TRUCK NO. - LICENSE NO/STATE: TRAILER NO. cJ LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS I DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. l DRIVER: (PRINT NAME) �' (SIGNATURE) DESTINATION DISPOSAL LOCATION I ,• 6A/ DATE DELIVERED: f ` ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET' SITE ' TICKET I GRID wEIGHMASTER 71) SOUTHOLD TOWN DEPT SOLID WASTE 01 01356842 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE 1N - DATE OUT 'TIME IN TIME OUT VEHICLE' _ ROLL OFF 04/21/18 04/21/18 09:36 09:36 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81600 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 45660 LB QTY. UNIT DESCRIPTION RATE. EXTENSION FEE ' TOTAL 22.83 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED CHANGE'- CHECK HANG '-CHECK NO. SIGNATURE "DUPLICATE TICKET" r$ITEj TICKET I GRID 1 wEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 01 01356842 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/21/18 04/21/18 09:36 09:36 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 81600 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei ht 45660 LB QTY.- UNIT DESCRIPTION- RATE EXTENSION FEE TOTAL 22.83 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 631-7344685. 0.00 NEXT HOLIDAY- Memorial Day, Monday, May 28 'TENDERED-- C ANGE -_-- =G K SIGNATURE �c NO. 1764 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 }} a� �.�`V 0 L SHIP DATE: 2 t COMMODITY SHIPPED: I V15 w j LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: Z, ` GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261.OR-ANY AReLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING_T_QAEPLICABLE-REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER 1 M TRANSPORTATION/FREIGHT CO. � TRUCK NO. - ' LICENSE NO/STATE: TRAILER'NO. _ #, 5 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED;:ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER_: (PRINT NAME) ',% (SIGNATURE) DESTINATION V U DISPOSAL LOCATION: ( , i , �'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 I GRID wEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358024 Steph PO Box 962/6155 Cox Lane DATE IN HATE OUT TIME IN TIME OUT VEH Cutchogue, NY 11935 IOLE ROLL OFF_ 04/23/18 04/23/18 13:51 13:51 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE • 111 _1 Farmingville NY 11738 , Scale 2 Gross Wt. 58120 LB Outbound-Charge ticket Manual Tare Wt 36220 LB Net Weight 21900 LB QTY. UNIT DESCRIPTION _ RATE -EXTENSION FEE- TOTAL_ 10.95 TON Single Stream Recycl 15.000 164.25 000 164.25 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 164.25 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED C NGE CHECK O. SIGNATURE "DUPLICATE TICKET** /'SITEI TICKET GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358024 Steph PO Box 962/6155 Cox Lane DATE IN DATE OUT TIME IN TIME OUT_ VEHICLE I ROLL OFF Cutchogue, NY 11935 04/23/18 04/23/18 13:51 13:51 11121TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 58120 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB ,QTY. UNIT DESCRIPTION RATE - EXTENSION FEE TOTAL 10.95 TON Single Stream Recycl 15.000 164.25 0.00 164.25 Operating hours 7:00 AM to 5:00 PM 7 days a week. CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 164 9.5 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED - -- CHaNGE . CE N SIGNATURE NO. 1898 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. s n 1 COMPANY: ?I ti^�Ci` -- l_) SHIP DATE: COMMODITY SHIPPED: LOOSE: J / r (CU YDS) I BALES: (COUNT): TRUCK WEIGHT: ' t{ ; GROSS t TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR-ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO,APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) �`` (SIGNATURE) C TRANSPORTER TRANSPORTATION/FREIGHT CO. J 1: TRUCK NO. LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED=ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. r DRIVER: (PRINT NAME) (SIGNATURE) } DESTINATION DISPOSAL LOCATION: r/1. 1 f''t 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) Y 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** sire - T�CI<E7 GRID Vi�IGHMiiSr�R SOUTHOLD TOWN DEPT SOLID WASTE 01 01357785 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATEiei DQTEoC17< ' TBVIEIN-TIDEo�rr VEHI61- Roil oi=F 04/231.18 04/23/18 07:43 07:43 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE Farmingvllle NY 11738 Scale 2 Gross Wt. 62960 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight f' 24260 LB QTY.=, _ UNIT. `- -„DESCRIPTIOiV_ :.RATE= ,EXTENSION FEE-Y TOTAL 12.13 TON 3ingle Stream Recycl 15.000 181.95 0.00 181.95 Operating hours 7:00 AM to 5:00 PM 7 days a week. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 181.95 NEXT HOLIDAY: Memorial Day, Monday, May 28 -TENDERED,- CHANGE TENDERED CHANGE - CH CK,NO. SIGNATURE **DUPLICATE TICKET** rSITEI J16KET' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01357785 Steph PO Box 962/6155 Cox Lane Cutchogue, ANY 11935 IbAtE IN DATE OUT TIME IN' ,TIME OUT VEHICf.E ROLL OFF 4/23/18 04/23/18 07:43 07:43 11121TC 009306 Town of Brookhaven Waste Manag REFERENCE' ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 62960 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 24260 LB QTY. 'UNIT- DESCRIRTION RATE EXTENSION -- FEE TOTAL = 12.13 TON Single Stream Recycl 15.000 181.95 0.00 181.95 Operating hours 7:00 AM to 5:00 PM 7 days a week. _ CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. , ' 181.95 NEXT HOLIDAY: Memorial Day, Monday, May 28 =--,TENDERED-?._'_:;` =-CHANGE -” HECK. SIGNATURE NO. 1892 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOZASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: ��4iS Ul j r �� iJ SHIP DATE: 1 ` COMMODITY SHIPPED: LOOSE: (CU'YDS) BALES: (COUNT): TRUCK WEIGHT: 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 TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. , v , t I TRUCK NO. LICENSE NO/STATE: TRAILER NO. J LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. 0 l- DRIVER: r� 1 1" (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION: , t'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. .SITE - TICKET' _ GRJD `°' .WEIGHMASTER ` SOUTHOLD TOWN DEPT SOLID WASTE 31 01357873 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE'OUT_ TIME1tN4 TIME OUT VEHICLE _ROLL OFF 4/23/18 04/23/18 10:24 10:24 11121 TC 009316 Town of Babylon Scale 2 Gross Wt. 66900 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei h 30960 LB QTY= UNIT:: DESCRIPTION RATE EXTENSION _FEE TOTAL 15.48 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~° - f's„` -y ,' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 °e� ;, "`' r dA�N 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 °r '1 ', ``, TENDERED° L 3dj'jri, r wa -. -CHANGE "'CHECK.NO:+”'„ SIGNATURE SITE I TICKET,_` GR!p- WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE D1 01357873 Steph PO BOX 962/6155 COX Lane DATE"IN°"' DATE OUT', TIME.IN]TIME OUT VEHICLE % ROLLOFF Cutchogue, NY 11935 _ 4/23/18 04/23/18 10:24 10:24 11121TC 009316 Town of Babylon REFERENCE •. Scale 2 Gross Wt. 66900 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB „ "QTY°' ri` U , ',DESCRIPTION p ' RATE EXTENSION FEE; TOTAL r ti 15.48 TON CUTGO.MSW 0.000 0.00 0.00 0.00 r ' 4L A Operating hours 7:00 AM to 5:00 PM 7 days a week. <_$ �; %` 4" • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. -- �� ,0 / s j die ,p � ` TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 284. " � CHECK NO: SIGNATURE NO. 1897 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. � li` dE COMPANY: SHIP DATE: COMMODITY SHIPPED: LOOSE: U (CU YDS) BALES: (COUNT): TRUCK WEIGHT: ; - = GROSS TARE i ./ NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) i (SIGNATURE) TRANSPORTER I TRANSPORTATION/FREIGHT CO. i TRUCK NO. - k/lCENSE 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) ESDISPOSAL LOCATION: �f r 1 )�D � '-J '`�� I DATE DELIVERED: r ADDRESS: j I HEREBY CERTIFY THAT,THE ABOVE,MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" "SITE =TICKET'- GRID" WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358169 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN _ DATE OUT TIME IN TIME OUT VEHICLE ROLL OFF 04/24/18 104/24/18 07:26 07:26 11121 TC 009306 Town of Brookhaven Waste Manag One Independence Hill REFERENCE •� Farmingville NY 11738 Scale 2 Gross Wt. 54280 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 18340 LB " QTY UNIT-' DESCRIPTION " RATE"` EXTENSION:`"" FEE _'_ TOTAL 9.17 TON 3ingle Stream Recycl 15.000 137.55 0.00 137.55 Operating hours 7:00 AM to 5:00 PM 7 days a week T t a ��l____� ; ,` �ti; • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. - . 137.55 NEXT HOLIDAY: Memorial Day, Monday, May 28 g' :y c ^: �get � E TENDERED" `CHECK NOf SIGNATURE '*DUPLICATE TICKET"" SITE TICKET. GRID "" `WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01358169 Steph PO Box 962/6155 Cox Lane - CUtChO9Ue, NY 11935 =DATE IN`- DATE OUT TIME IN TIME OUT VEHICLE =`_ ROLL OFF 04/24/18 04/24/18 07:26 07:26 11121TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 54280 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 18340 LB QTY.' ',r,; imUNIT' DESCRIPTION" „RATE' !' ','EXTENSION FEE; " TOTAL 's; 9.17 TON 3ingle Stream Recycl 15.000 137.55 0.00 137.55 i, f Operating hours 7:00 AM to 5:00 PM 7 days a week. ,ts'�j ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ,,, _._ ._ - ' �A� 137.55 NEXT HOLIDAY: Memorial Day, Monday, May 28 ` �� s,yv ` TENDERED' CHA GE ' -CHECK NO:::j SIGNATURE NO. 1896 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES rNOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. ! 0 1t COMPANY: > j �J� ? �' I ��' SHIP DATE: COMMODITY SHIPPED: �� t 1 LOOSE: (CU/YDS) BALES: (COUNT): TRUCK WEIGHT: 1 !� J GROSS l-•'' / ( � TARE NET 1 HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261_OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) -TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. �!! —' LICENSE NO/STATE: TRAILER NO. i LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS f DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. DRIVER: ----^--� ' r✓ (PRINT NAME) (SIGNATURE) DESTINATION,l� y �r DISPOSAL LOCATION: __r �-' ti' P"t' / 1` �d DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER_ PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET"` SITE TICKET 'GRID WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358361 Steph PO Box 962/6155 Cox Lane --- Cutchogue, NY 11935 DATE IN -DATE,OUT\ -TIME IN TIME OUT VEHICLE a, ROLL,OFF- 04/24/18 04/24/18 12:44 12:44 1121T 009316 Town of Babylon Scale 2 Gross Wt. 86420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 46020 LB :QTY. UNIT DESCRIPTION RATE =EXTENSION FEE TOTAL ' 23.01 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week ; .._ s' 4 • CLOSED HOLIDAYS-QUESTIONS CALL 6311-734-76135.42" J 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �' -n 'r r=~, " TENDERED_-„ re" <? CHANGE .• -CHECK SIGNATURE "'DUPLICATE TICKET SITE TICKET " GRID, EIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358361 Steph PO Box 962/6155 Cox Lane DATE 1N, DATE OUT` TIME IN TIME OUT VEHICLE°." ROLLOFF' Cutchogue, NY 11935 - 04/24/18 04/24/18 12:44 12:44 11121 TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 86420 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Welaht 46020 LB v_QTY UNIT E_ DESCRIPTION,— RATE EXTENSION w FEE, TOTAL 23.01 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. E _ 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 °"ur e ` 4=' ��A` " TENDERED= t. CHA E CHECKNO:Y 7 °r SIGNATURE a K NO. 1893 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 1��-' L- �� SHIP DATE: COMMODITY SHIPPED: J LOOSE: 10 t� (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS f_ TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAWS HAS.BEEN.P_ROP_ERL-Y---- DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSP_ORTATION�ORDING-TO APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. -- LICENSE NO/STATE: TRAILER NO. I ( LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. i DRIVER: ff (PRINT NAME) % (SIGNATURE) .sem/ r DESTINATION DISPOSAL LOCATION: () ,1 Ar ) l E 0, ) V l_lJ� DATE DELIVERED. 1 ADDRESS: � _ I HEREBY CERTIFY THAT THE ABOVE.MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OFMY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE _TICKET GRID----' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358247 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 'DATE IN_, DATE OUT _ TIME IN_TIME OUT , VEHICLE -_ ROLL OFF 4/24/18 04/24/18 0:03 10:03 11121 TC 009306 Town of Brookhaven Waste Manag One Independence Hill ORIGINREFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 69760 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB et eiaht 33540 L B ' RTE'' XENSION FEE = TOTAL UNIT; "'DESCRIPTION, T . 16.77 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 000 U {�m` ; 4 Operating hours 7:00 AM to 5:00 PM 7 days a week. - ,' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. : ,a 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 '''�- 19,%`r' y',"� ��Y;b��_ �` "[ENDERED " '- a CHANGE CHECK NO: - SIGNATURE SITE]" ",-_TICKET- " GRID. WEIGHMASTER' SOUTHOLD TOWN DEPT SOLID WASTE 01 01358247 Steph PO BOX 962/6155 COX Lane DATE IN DATE OUT - TTIME IN TIME"OUT VEHICLE ROLL"OFF Cutchogue, NY 11935 4/24/18 04/24/18 0:03 10:03 11121 TC 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 69760 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB '''" 'QTY°r „ >U DESCRIP ION ,r„ 'RATE'-r"'' EXTENSION 2FEE,"r- TOTAL 16.77 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 }} 7 1 rj Operating hours 7:00 AM to 5:00 PM 7 days a week. XP �� CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. ` ,~` '? '" '� , 0.0 - `. TENDERED,' NEXT HOLIDAY: Memorial Day, Monday, May 28 / n�„°� � =OHANGB'Y -,.--,,'tCHEQK NO., SIGNATURE NO. 1895 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. ! s COMPANY: t�0 Lk-i 1-,1 L' L�� SHIP DATE: COMMODITY SHIPPED: >> LOOSE: 0 ' (CU YDS) BALES: (COUNT): TRUCK WEIGHT: j 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. f GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. i- LICENSE NO/STATE: TRAILER NO. LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED AJ30VE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION. ✓ 1/" I ( 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. KET„ SITS ;,TIC ”„ „uGRID-tl,,, �.,,.,, -�., ' .,. _,� INEIGHMA$TER., "A)PLICATE TICKET"" SOU PHOLD TOWN DEPT SOLID WASTE 01 01358859 Liz H PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 "'DATE7 y DATEOUT;'''===MIMEINa TIME OUT 'z; 1VEHICLE 04/26/18 104/26/18 13:49 113:49 111 14T 009316 Town of Babylon - REFERENCE- Scale 2 Gross Wt. 84780, LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 48560 LB QTY" -___ : UNITDESCRIPTION_ =_ _` "_RATE -= F==FJCTENSION 'FEE'„ ~, TOTAL„ 24.28 TON OUTGO.MSW 0.000 0.00 0.00 0.00 .? _ .. Operating hours 7:00 AM to 5:00 PM 7 days a week..4 v =_ `, _ v ;°t • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.'`' 0.00 fit „ ,,f:. NEXT HOLIDAY: Memorial Day, Monday, May 28 :` _ ;- = r. TENDERED. 21 mac.` r 7iw., A GE'r:, SIGNATURE " DUPLICATE TICKET * sITE Tier �a"►o'" _`wEli;iiMd"sTER"_ SOUTHOLD TOWN DEPT SOLID WASTE 01 01358859 Liz H PO Box 962/6155 Cox Lane DATE-OUT,;;,ti TIME.,IN"T,!ME°OUT VEHICLE =ROLLOFF„ ;r, DATE,IN, Cutchogue, NY 11935 04/26/18 104/26/18 13:49 13:49 11114TC 009316 Town of Babylon REFERENCE •. IGIN II Scale 2 Gross Wt. 84780 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB v,r'_•rd �`j%"'s..,"'.r x Q - . ' ".DESCRPO ' RATE,`_ :_u _ TOTAUEXTETiTiN; N510N. " FEESu -UNI . - 24.28 TON UTGO.MSW 0.000 0.00 0.00 0.00 Qu Operating hours 7:00 AM to 5:00 PM 7 days a week: `£ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. '`, J PS�' J`Y\ jt "' ,u �.•. n nn NEXT HOLIDAY: Memorial Day, Monday, May 28 HA GE4% -CHECK NO = ` SIGNATURE r NO. 2006 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 j COMPANY: U �— ? SHIP DATE: _t 2, C ! 1 c COMMODITY SHIPPED: �h 1!"�, �rJ LOOSE: f (CU YDS) BALES: (COUNT): r TRUCK WEIGHT: s =` `4> GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 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 rel _(rt 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. f DRIVER: (PRINT NAME) ,a (SIGNATURE) DESTINATION / / ( (13 l o/DISPOSAL LOCATION:� )��( �tV J 1i �ll��' ! �-�-%� DATE DELIVERED: f 4 ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. D}JPLICATE TICKET SrfE ,. TICKET _ GRID_ WEIGHMASTER "` SOUTHOLD TOWN DEPT SOLID WASTE 01 01358726 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN ��DATE OUT' ' TIME IN TIME�OUT �° VEHICLE ' .< ROLL`pFF " 04/26/18 04/26/18 08:49 08:49 11114T 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 60640 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 21940 LB QTY .`UNIT -, _ DESCRIPTION, RATE EXTENSION FEE, _ TOTAL , - 10.97 TON Single Stream Recycl 15.000 164.55 0.00 164.55 Zy IN f� Et OFsf � ~f X 1_0�" r: Operating hours 7:00 AM to 5:00 PM 7 days a week:' �k ,' § ' • e 164.55 CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685:: , - NEXT HOLIDAY: Memorial Day, Monday, May 28 `s`.s � "=fit �. Y,> TENDERED- CHANGE CHECK O. SIGNATURE *'DUPLICATE TICKET"* SITE ,,TICKET -" WEIGHMASTER GRID SOUTHOLD TOWN DEPT SOLID WASTE 01 01358726 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN _DATEOUT I TIME IN;TIME-OUT VEHICLE -ROLLOFF 04/26/18 04/26/18 08:49 08:49 11114T 009306 Town of Brookhaven Waste Manag REFERENCE •. One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 60640 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 21940 LB 7 UNIT.-€ DESCRIPTION' <"' RATE'' " EXTENSION' FEE ' TOTAL 10.97 TON Single Stream Recycl 15.000 164.55 0.00 164.55 Operating hours 7:00 AM to 5:00 PM 7 days a weekt rki • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. _°,�, — —.- ''Y �'1164-55 � �F :-� . � NEXT HOLIDAY: Memorial Day, Monday, May 28 ,TENDERED my,if :, ., ,$ il3 {'GHECK'N ,-r SIGNATURE NO. 2004 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: `�til �� i ;,-10 L- o SHIP DATE: �- COMMODITY SHIPPED: < ! C�J d 1 LOOSE: U �% (CU YDS) BALES: (COUNT): TRUCK WEIGHT: G'��%` -`' 4�{% GROSS TARE r NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. r l f`1 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) f (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. *DUPLICATE TICKET" .SITE I TICKET - ,GRID _, 'WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358784 Liz H PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT TIME1 TIMEAUT _t, 'VEHICLE' ROLL OFF` 04/26/18 04/26/18 11:10 11:10 11 114T 009306 Town of Brookhaven Waste Manag _ One Independence Hill REFERENCE • Farmingville NY 11738 Scale 2 Gross Wt. 72120 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 36180 LB QTY. UNIT, DESCRIPTION, = RATE EXTENSION ---FEE- TOTAL 18.09 TON OUTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 Operating hours Tud AM todays a wee •` :AY r> WIN CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76$5 " A I" 0.00 3.:.. NEXT HOLIDAY: Memorial Day, Monday, May 28 § ; �m,r '; � ( TENDERED CHANGE CHECK NO. SIGNATURE **DUPLICATE TICKET" SITE TICKET'; GRID' WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358784 Liz H PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATE IN -_DATE-OUT TIME IN.TIME-OUT. VEHICLE ROLLOFF 04/26/18 04/26/18 11:10 11:10 111 14T 009306 Town of Brookhaven Waste Manag ORIGINREFERENCE One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 72120 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 36180 LB `-QTY.` UNIT' ; DESCRIPTION. G' RATE,, _ EXTENSION; FEE .'TOTAL" 18.09 TON UTGO.CONST-CONTRACT 0.000 0.00 0.00 0.00 t`_ , b r j Operating hours 7:00 AM to 5:00 PM 7 days a week a � CLOSED HOLIDAYS-QUESTIONS CALL 631-734-ii 85 � , to NEXT HOLIDAY: Memorial Day, Monday, May 28 _�' e' TENDERED, SIGNATURE 4 NO. 2005 GENERATOR THIS MANIFEST IS FOR RE FERENCE,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. 33 ; COMPANY: �% r1 1 (`> L�1 SHIP DATE: COMMODITY SHIPPED: C I LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: GROSS TARE `= NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED.AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. TRUCK NO. 2- LICENSE NO/STATE: ;� TRAILER NO. t J LICENSE NO/STATE: Ah F 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: 10 (PRINT NAME) (SIGNATURE) DESTINATION /� J DISPOSAL LOCATION: . lJ u t ! \ �1 \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 = GRID` WEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 01 01358663 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 _DATE IN DATE-OUT -TIME IN-TIME OUT VEHICLE- ROLL OFF 4/25/18 04/25/18 13:46 13:46 111 14T 009298 Universal Commodity Services, REFERENCE 2315 82nd Street 1st FI Brooklyn NY 11214 Scale 2 Gross Wt. 68460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Weight 32240 LB "'QTY.' 'UNIT- ' DESCRIPTION RATE "' 'EXTENSION'_ FEE'' TOTAL 16.12 TON Cut. Shrink Wrap UCS 30.000 483.60 0.00 483.60 t r Operating hours todays a wee . e`."�, °.a = m_r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.! Tk 483.60 NEXT HOLIDAY: Memorial Day, Monday, May 28 I �,..a�'� ' TENDERED'' CHANGE CHEC NO: SIGNATURE "*DUPLICATE TICKET" SITE TICKET -Y GRI, " , wEiGHMasitR ` SOUTHOLD TOWN DEPT SOLID WASTE 1 01358663 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT ' TIME IN_TIME OUT VEHICLE _ s ROLL OFF 4/25/18 4/25/18 3:46 3:46 11114TC 009298 Universal Commodity Services, 2315 82nd Street 1st FI REFERENCE' ORIGIN Brooklyn NY 11214 Scale 2 Gross Wt. 68460 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 32240 LB ^/r "QTY.' DESCRIPTION y"'" `RAT£ a,+ "EXTENSION FEE''' NOTAL-. 16.12 TON Out. Shrink Wrap UCS 30.000 483.60 0.00 483.60 k r- •E Operating hours 7:00 AM to 5:00 PM 7 days a week. rg"" ` --• f �'= � CLOSED HOLIDAYS-QUESTIONS CALL 631-734-76#,5. ,V,, . 483.60 NEXT HOLIDAY: Memorial Day, Monday, May 28 `°�` ;;; - `-j .:.,`P 'TENDERED -CHANGE.', SIGNATURE NO. 2003 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED QND DOLS NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. { ! COMPANY: J U LA7i ?,1 {i 1SHIP DATE: 2 COMMODITY SHIPPED: i T ��! •� 1 � ) 1 LOOSE: y (CU YDS) BALES: (COUNT): TRUCK WEIGHT: `.` "I L) GROSS U ! 7 TARE '4 NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TQ APPLICABLE REGULATION. IF GENERATOR AUTHORIZED AGENT(PRINT NAME) ,(SIGNATURE) ,o TRANSPORTER R � 1 TRANS PORTATION/FREIGH--T��CO. TRUCK NO. LICENSE NO/STATE: TRAILER NO. I � LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: (PRINT NAME) ,f (SIGNATURE) DESTINATION DISPOSAL LOCATION C A I DATE DELIVERED: ADDRESS: 4 J I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER- PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE TICKET= 1NEIG4MA$TER SOUTHOLD TOWN DEPT SOLID WASTE 31 01358600 Steph PO Box 962/6155 Cox Lane DATIN1--' "DATEAUT,;'" ,'TiME1N, TIME OUT VEHICLE ` ROLLOFF, Cutchogue, NY 11935 -_ -- 4/25/18 4/25/18 9:05 9:05 11114T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 89820 . LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Weight 51120 LB QTY _ UNIT DESCRIPTION ";: RATE- EXTENSION ,,. _EEE TOTAL, 25.56 TON UTGO.MSW 0.000 0.00 0.00 0.00 1q { r}f,p rtm \ Operating hours todays a wee , • } _. _ • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 'r � _`_ �` 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 �?�' n ,. f�.0 U� TENDERED CHANGE ,CHECK NO. SIGNATURE "DUPLICATE TICKET" „SITE TICKET :GRID„ ,WEIGHMASTER, SOUTHOLD TOWN DEPT SOLID WASTE 31 01358600 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE IN DATE OUT =TIME IN,TIME OUT „; VEHICLE _s ROLLOFF 4/25/18 4/25/18 9:05 9:05 11114TC 009316 Town of Babylon REFERENCE' I-- ORIGIN Scale 2 Gross Wt. 89820 LB Outbound-Charge ticket Manual Tare Wt. 38700 LB Net Wei ht 51120 LB QTY _ _ UNIT DESCRIPTION RATE EXTENSION FEE TOTAL 25.56 TON 0UTGO.MSW 0.000 0.00 0.00 0.00 Nj f 3 C ff.r ? t•� L ` ~ I S- r� ��p� Operating hours 7:00 AM to 5:00 PM 7 days a week. a • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.;f% F.- r„ 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 `�s 's f`A TENDERED ' :. IKA_� V GAN C EMN SIGNATURE r NO. 1894 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'rASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: l } �-� �— i SHIP DATE- u I t COMMODITY SHIPPED: LOOSE: i �' y (CU YDS) BALES: (COUNT): \` TRUCK WEIGHT: �' GROSS I 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 ORANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION'FOR TRANSPORTATION TQ APPLICABLE REGULATION 1 � 1 GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER ri TRANSPORTATION/FREIGHT CO. TRUCK NO. — LICENSE NO/STATE: TRAILER NO. `I '.� LICENSE NO/STATE: HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW. z DRIVER: (PRINT NAME) .r"x (SIGNATURE) rj } DESTINATION �s J � �✓� �-` DISPOSAL LOCATION: t I ( f r f' t. `-� 6 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. .SITE CKET',r _ 'r : GRID u�- UVEIGHMgSTERµ"-` "DUPLICATE TICKET" SOUTHOLD TOWN DEPT SOLID WASTE 01 01359015 Liz H IPO Boz 962/6155 Cox Lane - Cutchogue, NY 11935 _DATE IN DATE=OUT TIMIEIN_TIME OUT VEHICLE" --ROLLOFF, 04/27/18 04/27/18 09:00 09:00 11114TC 009306 Town of Brookhaven Waste Manag • One Independence Hill REFERENCE Farmingville NY 11738 Scale 2 Gross Wt. 56220 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei ht 20280 LB QTY.,- UNIT DESCRIPTION --- RATE EXTENSION FEE _-TOTAL 10.14 TON Single Stream Recycl 15.000 152.10 0.00 152.10 .�a� � q •ems 4 .4p3�¢, y .±. Operating hours 7:00 AM to 5:00 PM 7 days a week. <f%`. �Y?; �,� F' g • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.': 152.10 77' NEXT HOLIDAY: Memorial Day, Monday, May 28 'f b'r` TENDEF�EO';p �'' y CHANGE C ECK° O.. SIGNATURE *"DUPLICATE TICKET"* SITE TICKET GRID= - . , =' WEIGHMASTER`pi SOUTHOLD TOWN DEPT SOLID WASTE 01 01359015 Liz H PO Box 962/6155 Cox Lane TinnE'tN �tnnE our''W } DATE IN DATE OUT " VEHICLE RC1LL OFF'' Cutchogue, NY 11935 v_ 04/27/18 04/27/18 09:00 09:00 11114TC 009306 Town of Brookhaven Waste Manag ORIGIN One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 56220 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB „ ,"UNIT DESGRtPTION,r" ,„ RATE I EXTENSION FEE^',,,,, TOTAL, 10.14 TON Single Stream Recycl 15.000 152.10 0.00 152.10 1 �} a � t I 2 Operating hours 7:00 AM to 5:00 PM 7 days a week.`` �'�� ;' f`s' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685 �, .f`- sem . at`` 35210 ,. J, TENDERED NEXT HOLIDAY: Memorial Day, Monday, May 28 0. � c .y -CHANGE" CHECK NOr SIGNATURE F NO. 2041 , GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOTI SSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. COMPANY: v�{ i C 1'i 1 SHIP DATE: COMMODITY SHIPPED: LOOSE: (CU YDS) BALES: (COUNT): ' TRUCK WEIGHT: ` `'' GROSS TARE i- NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATEiLAW,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) s 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: 1---- 3 (PRINT NAME) ,°' (SIGNATURE) DESTINATION f r; DISPOSAL LOCATION: ''r (-" 1 DATE DELIVERED: ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION, GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" SITE =TICKET, .. ,° _.. GRID, r; _ WEIGHMASTER s SOUTHOLD TOWN DEPT SOLID WASTE 01 01359152 Liz H PO Box 962/6155 Cox Lane � - VEHICLE ROLL OFF _ F Cutchogue, NY 11935 <.DATE IN DATE OUT_' ,,TIME IN TIME OUT ,` 04/27/18 04/27/18 12:54 12:54 11114T 009306 Town of Brookhaven Waste Manag REFERENCE _ GIN One Independence Hill • Farmingville NY 11738 Scale 2 Gross Wt. 55780 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 19840 LB ;QTY UNIT DESCRIPTION,-" 4"' -RATE, a,-' EXTENSION_. _ 'FEE ,TOTAL 9.92 TON Single Stream Recycl 15.000 148.80 0.00 148.80 .' ` b to •Y� _ lE �,.,,�:'�-a'�. '•y-• x•ons' ' _ f � i • t Si ^s= a Operating ours o days a wee°: _u_ - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685_��, 148.80 TENDER ED,NEXT HOLIDAY: Memorial Day, Monday. May 28 CHECK NO. SIGNATURE ""DUPLICATE TICKET"" siT ,Tlc'KET.'=;, wEiGHMaT SOUTHOLD TOWN DEPT SOLID WASTE 01 01359152 Liz H PO Box 962/6155 Cox Lane ,,,, - Cutchogue, NY 11935 ,DATE"iN `'DATEflur'. itrvl 'tN"1Ih4E"'quT ' ;vEH"icl '„ ;,a,°Ro�t'bFF';_, 04/27/18 04/27/18 12:54 12:54 11114TC 009306 Town of Brookhaven Waste Manag REFERENCE • One Independence Hill Farmingville NY 11738 Scale 2 Gross Wt. 55780 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 19840 LB QTY_ UNIT; = _ DESGRtPT10N°_F.,.. _==RATE• - EXTENSION- FEE_ - ,, TOTAL- ` 9.92 TON Single Stream Recycl 15.000 148.80 0.00 148.80 i Y: G. z 3 Operating hours 7:00 AM to 5:00 PM 7 days a week:' , 41 .,_ ti m., CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.: NEXT HOLIDAY: Memorial Day, Monday, May 28 >. ,f" _TENDERED HANGE' SIGNATURE a NO. 2099 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 3 I % (. j SHIP DATE: i f}' COMMODITY SHIPPED: .. ! LOOSE: (CU YDS) BALES: (COUNT): TRUCK WEIGHT: r� 6 GROSS 0 TARE NET k 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. , :f DRIVER: 1YJ-- (PRINT NAME) a' (SIGNATURE) DESTINATION DISPOSAL LOCATION: DATE DELIVERED: t ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET" =SITE TICKET•-` -GRID $" WEIGHMASTER = SOUTHOLD TOWN DEPT SOLID WASTE 01 01359206 Steph PO Box 962/6155 Cox Lane - - Cutchogue, NY 11935 DATE IN..,` DATE OUT} TIME IN h TIME OUT VEHICLE ROLL OFF, 04/28/18 04/28/18 07:31 07:31 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 90960 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Weight 50560 LB " ,QTY_QTY UNIT" = DESCRIPTION ---- -- - RATE EXTENSION` FEE TOTAL° _-_ 25.28 TON DUTGO.MSW 0.000 0.00 0.00 0.00 Opera Ing ours o ays a wee : m: d ;`. • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :. ` -. i 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 'r', ' " ' TENDERED, CHANGEn'=` CHECK NO:-- SIGNATURE `*DUPLICATE TICKET ` SITE _ TICKET £GRID WEIGHMASTER ;= SOUTHOLD TOWN DEPT SOLID WASTE 01 01359206 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 ill OUT TIMEIN, TIME{,Ol1T VEHICLE `,, „ ROCL,OFF>`,,, 04/28/18 04/28/18 07:31 07:31 11114TC 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 90960 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 50560 LB -_QTY.:_ UNIT - DESCRIPTION _ '_ - RATE =EXTENSION,'_ FEE``= TOTAL 25.28 TON DUTGO.MSW 0.000 0.00 0.00 0.00 _ ''•mss ' 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 � _ '' - A',,,TENDERED=';-, ,C AN E:_ GHIECK NO.;.'., SIGNATURE NO. 2042 GEAERA-COR 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: 2- COMMODITY SHIPPED: LOOSE: I l ) {_i (CU YDS) BALES: (COUNT): TRUCK WEIGHT: l' l 1'' t.~` GROSS TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE\LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. ! j�� / ' U." 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: �1 'J! ' ' I =1 }I151 �1 I� w �1 � 1 DATE DELIVERED: /; ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED' IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. "DUPLICATE TICKET*" ,SITE y .;:TICKET GRID., `, „ ,' •WEIGHMA$TER SOUTHOLD TOWN DEPT SOLID WASTE 01 01359307 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 =DATE IN,, ,• DATE OUT TIME IN TIME OUT ,,,,VEHICLE- ROLL OFF_ 04/28/18 04/28/18 10:43 10:43 111 14T 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82120 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB - ----—---Net Weight 45900 LB '-QTY - ';UNIT,m1, ,,,,_r,, ` ., d,; -,,DESGRIRTION RATE;z,;,,, EXTENSION, -FEE -'g =TOTAL }i. 22.95 TON OUTGO.MSW 0.000 0.00 0.00 0.00 4 ^4 m J Operating ours to 5.*0b PM 7 days a week. :� • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. :' _ 0.00 TENDERED_' NEXT HOLIDAY: Memorial Day, Monday, May 28 ` "' CHANGE ti-_ CHECK NO. SIGNATURE "DUPLICATE TICKET" SITE- ` TICKET"' GRID,,`_ " '`- WEIGHMASTER'` SOUTHOLD TOWN DEPT SOLID WASTE 01 01359307 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 DATEIN, 0ATEq _ TIME'IN. TIME OUT „ >,VEHICLE= ;;. ROLL,.OFF 04/28/18 04/28/18 10:43 10:43 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 82120 LB Outbound-Charge ticket Manual Tare Wt. 36220 LB Net Wei ht 45900 LB iOTY'. UNIT' r DESCRIPTION' `a RATE EXTEN$ION, FEE _ „TOTAL, 22.95 TON UTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a week.r _•;' = r • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 ;-` "TENDERED z f''1w Or CHANGE 9'CHECK NO. SIGNATURE NO. 2100 tA r 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. Z COMPANY: !i� 1 i� I.�IJ SHIP DATE- COMMODITY SHIPPED: JM LOOSE: (CU YDS) BALES:(COUNT): TRUCK WEIGHT: f' ;?�,�? � GROSS � 1 TARE NET HEREBYfC�RTIFY 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 ~-:TQQ• PP_LICABLE REGULATION GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. lJ TRUCK NO. }} LICENSE NO/STATE: TRAILER NO. 1 J LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTEABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT-TO THE DESTINATION LISTED BELOW. DRIVER: (PRINT NAME) // (SIGNATURE) f DESTINATION ��4 � \ L � f 'J � )l DISPOSAL LOCATION: V4/\j A f � �I 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: s. RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE ' KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO. SITE I`- TICKET _,_" "GRID - ' - WEIGHMASTER_' SOUTHOLD TOWN DEPT SOLID WASTE 01 01360171 Steph PO Box 962/6155 Cox Lane DATE IN = DATE OUT ;, TIME IN TIME OUT, , VEHICLE Cutchogue, NY 11935 4/30/18 04/30/18 12:10 12:10 11114T 009316 Town of Babylon REFERENCE Scale 2 Gross Wt. 83920 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Weight 47980 LB _ QTY = UNIT. DESCRIPTIQN RATE -IXTENSiON FEE -' TOTAL 23.99 TON CUTGO.MSW 0.000 0.00 0.00 0.00 Operating hours 7:00 AM to 5:00 PM 7 days a weeks m\ _.__ - _ " . " "`" rA • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685. � �.�. 4.�..,�-Y�'� � a �' 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 TENDERED 1;- CHANGE :'- CHECK NO: --j SIGNATURE SITE_ TICKET _ GRID - VUEIGHMASTER SOUTHOLD TOWN DEPT SOLID WASTE 1 01360171 Steph PO Box 962/6155 Cox Lane Cutchogue, NY 11935 DATE,IN"' ^,DATE-OUT"- ,-„TIME IN; TIME,QUT VEHICt E--f;`,a9, ROLL" 4/30/18 4/30/18 2:10 2:10 11114TC 009316 Town of Babylon REFERENCE ORIGIN Scale 2 Gross Wt. 83920 LB Outbound-Charge ticket Manual Tare Wt. 35940 LB Net Wei h 47980 LB =QTY _ . UNIT DESCRIPTION- RATE, = _"EXTENSION= i- _, FEE - TOTAL=_ 3.99 TON UTGO.MSW 0.000 0.00 0.00 0.00 tet, -w Operating hours 7:00 AM to 5:00 PM 7 days a week." ''�u`>;': ,..,` -- " ' • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685, �,� ` - 0.00 NEXT HOLIDAY: Memorial Day, Monday, May 28 r �J k GRAN E-, a C EC N SIGNATURE NO. 2043 GENERATOR THIS MANIFEST IS FOR REFERENCE PURPOSES ONLY.GENERATOR DOES NOT TAKE POSSESSION OR TITLE OF ANY CARGO OR MATERIALS BEING SHIPPED AND DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE SHIPMENT OF SUCH MATERIALS. 1 COMPANY: � ( '� J %� - -� SHIP DATE: COMMODITY SHIPPED: LOOSE: ) 1 L% (CU YDS) BALES: (COUNT): TRUCK WEIGHT: �' - GROSS t TARE NET I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL DOES NOT CONTAIN FREE LIQUID AS DEFINED BY 40 CFR PART 260.10 OR ANY APPLICABLE STATE LAW,IS NOT HAZARDOUS WASTE AS DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW,HAS BEEN PROPERLY DESCRIBED,CLASSIFIED AND PACKAGED,AND IS IN PROPER CONDITION FOR,TRANSPORTATION ACCORDING TO APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) f (SIGNATURE) TRANSPORTER ffC I o TRANSPORTATION/FREIGHT CO. i 1 �i TRUCK NO. LICENSE NO/STATE: 1 - TRAILER NO. } ,r LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW y '' DRIVER: (PRINT NAME) f (SIGNATURE) ,. DESTINATION t DISPOSAL LOCATION: ;: �/n;J I I �}F 1 � I u"� f DATE DELIVERED: ADDRESS: �` l 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 := cit�r" _ tit? v;.;. _w!i>ttinnasT€ .:: SOUTHOLD TOWN DEPT SOLID WASTE 01 01360046 Steph PO Box 962/6155 Cox Lane - Cutchogue, NY 11935 AT ©Aie ;CidT'_, TIME-tI�':. i E.i7i1i y uEHiCi11EQ, _RoI:LK�FF 04/30/18 04/30/18 108:39 08:39 11114TC 009316 Town of Babylon RE6ERCE. ORIGIN Scale 2 Gross Wt. 91680 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB Net Wei ht 51280 LB QTY UNtT .` _ DESCR1PTfON RACE= 'EJfTEt*tSfOht= 'FEE `> TOTAL 25.64 TON DUTGO.MSW 0.000 0.00 0.00 0.00 f Operating hours 7:00 AM to 5:00 PM 7 days a week: - • CLOSED HOLIDAYS-QUESTIONS CALL 631-734-7685.: 000 NEXT HOLIDAY: Memorial Day, Monday, May 28 J- TENDERED',',- 'CHANGE'r';: SIGNATURE **DUPLICATE TICKET** sirs 1tcK r Gi io ` .w iritiMAsT]�R. SOUTHOLD TOWN DEPT SOLID WASTE 01 01360046 Steph PO Box 962/6155 Cox Lane . DAT 1 DATEDUT . =TIIVIE=IN !08:39d ►NIE:O '._ y�HiCt E RC7LL dFF°`" Cutchogue, NY 11935 _ 04/30/18 04/30/18 08:39 11114TC 009316 Town of Babylon ORIGINREFERENCE Scale 2 Gross Wt. 91680 LB Outbound-Charge ticket Manual Tare Wt. 40400 LB ,QTY:`:,`,. 'AUNIT, = ., `DESCRIPTION.-,; RATE:. „",1 EXCENSIO[1'., FES TOTAL,' ' 25.64 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 Day, Monday, May 28 ">. TENDERED �C ANG r-772-THECK SIGNATURE r r NO. 2045 4 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: L' (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-Q'APPLICABLE REGULATION. GENERATOR AUTHORIZED AGENT(PRINT NAME) (SIGNATURE) TRANSPORTER TRANSPORTATION/FREIGHT CO. I L TRUCK NO. r-_i LICENSE NO/STATE: TRAILER NO. 61 LICENSE NO/STATE: I HEREBY CERTIFY THAT THE ABOVE NAMED MATERIAL WAS PICKED UP AT THE GENERATOR SITE LISTED ABOVE, AND THAT IT WAS DELIVERED WITHOUT INCIDENT TO THE DESTINATION LISTED BELOW DRIVER: °-' \0 F' (PRINT NAME) (SIGNATURE) DESTINATION DISPOSAL LOCATION- Li�� ' '�``jwj �; DATE DELIVERED: r / ADDRESS: I HEREBY CERTIFY THAT THE ABOVE MATERIAL HAS BEEN ACCEPTED AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION PROVIDED IS TRUE AND ACCURATE: RECEIVED BY: AUTHORIZED AGENT(PRINT NAME) SIGNATURE/DATE KEY: WHITE TO DISPOSAL LOCATION GREEN TO TRANSPORTER YELLOW TO TRANSPORTER. PINK TO GENERATOR GOLD TO GENERATOR DISPOSAL LOCATION TICKET NO.