Laserfiche WebLink
6090 "N ME :E l LIH 's 'U�r ;Wli pania)ad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: 116 Time: 8 O AM/PM Manifest#L- D <br /> Business Name: Vl•e4 n q Co <br /> Job Site Address: $�D 0 S 1410 P-1 U1-V Ld-01z Zip Code: r`! <br /> Customer Name (print): v/- A/-Z741u-natur-�l <br /> IKG Authorized Receiving Facility Name/Address (circle dump site for facility) <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 IKG Receipt: Iii Total IIKG Received:��C> <br /> Septic Grease <br /> U <br /> Receiving Facility Rep. Flame(print) B/elAr-Aj bfy6P12E (Signature); <br /> Authorized Transporter: Vehicle Decal Number:? l <br /> Stockton Roto Rooter Driver Name(print): o <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 'd Z6L9 'ON NdH :: [ LIH 'S 'U�r <br />