Laserfiche WebLink
L960 "N WdH :: 9 [0Z � l 'lnr aril pania)ad <br /> Inedible Kitchen Grease JKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service L 0070 <br /> --�Sl1 U <br /> Date: Time, AM/PM Mangest#L- a"P <br /> Business Name: � to/m4l <br /> •v CZ <br /> Job Site Address: L (/� L- Zip Code-. <br /> Customer Name (Signature): <br /> IKG Authorized Receiviug Faciliiity Name/Address (circle dtLwp site for facility <br /> City of Lodi-WWteslough SPCF" <br /> 12751 N. Thornton Rd <br /> Lodi, C.A.95242 <br /> (209)333-6749 <br /> Date of WO Receipt: r7~2o— 4ia10 of IKG Receipt: Total XKG Received: p <br /> Sep-dr- Grease <br /> Receiving Facility Rep.Name(Print) �I,I p ik s brJ6M6to <br /> (Signature): <br /> Authorized Transporter Vehicle Decal Number: <br /> Stockton Roto Rooter Driver Name(prin* Q L Dlndl Y� <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Siguature: <br /> —P�4a <br /> ti d 9255 'IN Wd�� ti 9lOZ � l 'lnr <br />