Laserfiche WebLink
68 0 '�N Wd90 8 9lOz �l 'a �W 9WIi P;A1 ;3;d <br /> Inedible Kitchen Grease ( G) Manifest <br /> Stool-ton Roto Rooter Grease & Septic Service <br /> Date: 6� ' - Time: �, �i`j 11 PM Manifest#x,- <br /> Business Name: _ ;;` <br /> Job Site Address: G`: ;s �-- j � �ti � +r :` Zip Coder <br /> Customer Name (print): (Signature <br /> IKG Authorized Receh-ing Facility Name/Address (circle dump site for facility) <br /> City of Lodi-Whiteslongh SPCF <br /> 12751 N.Thornton Rd <br /> Lodi,CA 95242 <br /> (209)333-6749 <br /> Date of[ICG Receipt: . Time of 1KG Receipt C'^ `�1 Total jKG Received: <br /> Septic Grease <br /> Receiving Facility Rep. Name(Print) _-- (Signature): <br /> Authorized Transporter: Vehicle Decal Number: ; E?J, (7 . <br /> Stockton Roto Rooter Driver Name(print): <br /> 4228 Newton Rd ! ` <br /> Stockton,CA 95205 Driver Signature: ; - r� <br /> ti 'd S l 'ON Wd60 : 8 91 'S l 'a t-W <br />