Laserfiche WebLink
1005 "N 0ti :6 ti[06 'til 'Ups awil paniaOa� <br /> 4 <br /> Inedible Kitchen Grease (ZKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: AM/PM Manifest#L- 00;Y <br /> K <br /> Business Name: <br /> Job Site Address:a d Zd Zip C de: y <br /> Customer Name (print): (Signature)' <br /> IKG Authorized Receiving 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 IYCG Yteceipt:j2 J Time of IKG Receipt: Total IKG Received: g� <br /> Se Grease <br /> t <br /> Receiving Facility Rep.Name(Print) —V)P-)Av�j LoMGPkE7 (Signature): <br /> Authorized Transporter: Vehicle Decal Number: / l� <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 90/b0 OJdd N3100N 0102f 9Z6559b60Z 9b�60 bTOZ/bi/T0 <br />