Laserfiche WebLink
9SO '°N Wd6S :01 91027 ' 'ASW ;Wil j paniaOa� <br /> -� ,7 Inedible Kitchen Grease,(IKG) Manifest <br /> ° "� Stock-ton Roto tooter Grease & Septic Service <br /> j f � <br /> Time: �,�� AM/jMD Manifest#L- 0 <br /> CA— <br /> Business Name: g -nye'_, 1��ti\c7 <br /> Job Site Address:-\5--736 5 e) Zip Code: �r <br /> Customer Name (print): �1 Ult (J G�-"�v � (Signature): <br /> IKG Authorised Receiving Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Wbitesiough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 952427 <br /> (209) 333-6749 <br /> Date of IKG Receipt: 16-rixne of XKG Receipt: Total IXG Received: <br /> C!,S�epp.�ii� Grease <br /> Receivina)Facility Rep.Name(Print) {��,� �,,,1);vL"ry,�a �',�(Signature� <br /> L` <br /> Authorized Transporter: Vehicle Decal Number- <br /> Stock-ton <br /> umberStockton );foto Rooter Driver Name(print): <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Sibnatur <br /> d ti26� 'ON A00 : 1 [ 9 [H ��W <br />