Laserfiche WebLink
1189 'nN Wd8Z l ��oz Zi nH auai1 Pani a�aa , <br /> Inedible Kitchen Grease G) Manifest <br /> Stockton Moto Rooter Grease & Septic Service <br /> Date:_ �� '.dime: sin Manifest#L-QGj57"I <br /> G.• , <br /> Business Name: <br /> Job Site _,_ 7 <br /> Address. �r _Zip Code: <br /> -, <br /> Customer Name(print): ZAAZ9 (Sig�aatnre): <br /> 11W Authorized Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslough SPCA' f <br /> 12751 N.Thornton Rd <br /> Lodi, CA.95242 <br /> (209)333-6749 <br /> Date of IXG Receipt: ` Time of 1KG Receipt: 6���� Total•IKG Receive . <br /> Septic Grease <br /> j <br /> Receiving Facility Rep.Name(Print) �Signature): <br /> . <br /> 1-1Y 0 47 LV151 <br /> Authorized Transporter: .Vehicle Decal Number. <br /> Stockton Roto Rooter Driver Name(print): ' a��- <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Siignatare: -� <br /> ' f <br /> 9T/60 3!DVd N=Od 010 1 9Z6559b60Z TC:ZT PTOZ/ZT/80 <br />