Laserfiche WebLink
ti980 "N Ad8l :S 9l0Z '8 'ung awil paniaO;� <br /> Inedible Kitchen Grease (IKG) Manifest 0040 <br /> Stockton Roto .footer Grease & Septic Sex- ;lee <br /> U- <br /> Date: Time: AM I iyf Tahifest#L- <br /> Business Name.-.--R <br /> Jab Site Address: ' #U-)V Zip Code- <br /> Customer Name(print): 4&n <Cir�J6 S _.(Signature): <br /> TKG Authorized.Receiving Facility Name/Address (circle dump site for facility) <br /> C'itvv of JLodi-Whiteslou h SFC ' <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-5749 <br /> Date of 11CG Receipt-� � ��Time of WKG ReceiptTotal IKG Received: <br /> -fs--e-PI-ot i-C�-� <br /> � <br /> Grease <br /> Deceiving facility Rep.Name(Print) L e- Signature): <br /> Authorized Transporter- Vehicle Decal Numbea-:��� <br /> Stockton Roto Rooter Driver Name(print): �- <br /> 4228 Newton Rd " <br /> Stockton, CA 95205r <br /> Driver Siagnature: <br /> i <br /> E 'd LM '°N Adl� :S 9[06 8 'unr <br />