Laserfiche WebLink
5808 '°N MSS H-- '0l 'gad aWIi pania); <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: � �_ Time: �M Manifest#L- <br /> Business Name: I t Q3 C -✓I <br /> Job Site Address: .rJ 1: Gl 1 r / Zip Code: <br /> Customer Nance (print): �.0 V t-, � �C LZ U ,, Signature): (j7,(_ <br /> IKG Authorized Receiving Facility Name/Address (circle duamp 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 Receipt: f ���Time of IKG Receipt: Total IKG Received: <br /> SepticGrease <br /> Receiving Facility Rep_Name(Print) (Signature): Y <br /> Authorized Transporter: Vehicle Decal Number: <br /> i <br /> Stockton Roto Rooter Driver Name rint': �(�.�'pGC'/ 1� <br /> 4225 Newton Rd " <br /> Stockton,CA 95205 Driver Signature: <br /> Ll 'd 9L� [ 'ON SlH Ol 'qad <br />