Laserfiche WebLink
x� <br /> 6titiFIN Md :� S[0Z 'Z -add aWl j PaAl ;);� <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stock-ton Roto Rooter Grease & Septic Service <br /> Date: '"� ` l Time: SCJ 1/PM Mau fest#L-() <br /> Business Name: ),-ij c:: <br /> Job Site Address: �,c�, �r - -��(,'_. Zip Coder <br /> Customer Name (print):- �k (Signature): <br /> 1KG Authorized Receh-ing Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> .Lodi, CA.95242 <br /> (209)333-6749 <br /> Date of IKG Reeeipt:�'�'f/"r Time of IKG Receipt: Total IKG Received. <br /> Septic ((�rease- <br /> Receiving Facility Rep.Name(Print)Rx-i A,- 91, (Sig nature):�G'�'c�� <br /> Authorized Transporter: Vehicle Decal Number: Y <br /> Stockton Roto hooter Driver Name(print): <br /> 4225 Newton Rd <br /> Stockton,CA.95205 Driver Signature: <br /> 2 'd 8261 '°N Wdgti :Z S[0Z 'Z ,add <br />