Laserfiche WebLink
o ?n awi ania�a <br /> ' l l89 ' N Wd8Z � l �tiIOZ °Zl ' d 1 P � <br /> T7 <br /> ; <br /> 2� <br /> city of Lodi <br /> White Slough Water Pollution Control Facility <br /> i . <br /> GREASE TRAP WASTE MANIFEST � <br /> D <br /> Transport Company <br /> 0(9 Q-0 d ; <br /> CA <br /> 1 <br /> • s <br /> Location(s).of Grease Traps <br /> 'Business Name and Contact Person Telephone "Ind./ <br /> Address(#and street) (full name) Number Gallons Date Com. <br /> qA <br /> ate.Ga <br /> i <br /> { <br /> "Industrial or Commercial { <br /> ALL WASTE'•HAULERS,MUST,PRESBNT'A COMPLETED MANIFEST BEFORE <br /> .. :LOAD WILL-:BE ACCEpfEb <br /> Name of Waste HaUler(Print) <br /> Signature of Waste Hauler ---��- <br /> ''' 91/80 39dd' a310MJ 010 1 ,T 1,TOZ/ZT/80 <br />