Laserfiche WebLink
19tiO "N Wd61 :� 910 '6 -9 aU)il P;A133a� <br /> Inedible Katcher Grease ( KG) Manifest <br /> Lwofinff <br /> Stockton Roto Rooter Grease & Septic Service <br /> Rate; I f Time. �• �� Aiv !PM Mazfest#L-C f p� <br /> l <br /> Susiuess Name: rP7 <br /> Job Site Address: V66 r /�. �(—z Zip ode: <br /> Customer Name(print): (Signature): <br /> I1KG Autborized 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: i4Time(ifIKG Recei t.— <br /> Total IXG received: <br /> p <br /> W <br /> Septic) Grease <br /> Receiving Facility Rep.Name(Print) ' (Signature)- <br /> Authorized Transporter: Vehicle Decal Number_ <br /> Stockton Roto Rooter Driver Name(print)_ <br /> 4225 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> Z 'd 09D 'IN MN :E 910 '6 Gad <br />