Laserfiche WebLink
1M 'IN W1 : ',9 Hi '6 q aLUII Pani a0a� <br /> 11ned.ible Mtchen Grease (f ) Manifest <br /> Stockton. Roto Rooter Grease & Septic Service <br /> Date: Time: �f 6-V )/PTI ,MaDif'est?#L- 0 '7 <br /> Business Name: ic, <br /> Job Site Address: t cc s �' Zip Code: 4V9 <br /> Customer Name(print): `?- �� 'CV (Signature): <br /> �e- <br /> JKG Authorized Receiving Facility Name/Address (circle dump site for: ) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton Rd <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt: //¢// Time of JXG Receipt: Total IKG Received: 1 �� <br /> Septic <br /> Receiving Facility Rep.Name(Print) BK/ � g 1-Signature): <br /> Authorized'Transporter: Vehicle Decal Number. t <br /> Stockton Roto Rooter Driver Name(print). C7SP� Td f <br /> 4225 Newton Rd - <br /> Stockton,CA 95205 Driver Si;nataz . <br /> 8 d 09E� 'IN WN : E 9lH '6 qac. <br />