Laserfiche WebLink
S8ti0 'ON WdZE :S 9l0Z Zl 'aaa aWIi paniaaa� <br /> Inedible Kitchen Grease (JOKG) Manifest d Z� <br /> Stockton Roto Rooter Grease & Septic Service 9 - 0 <br /> Date: ///e1 fG Time, ©��� AM/PM Manifest#L- <br /> Business Name: M oU L/ / 96 6yW <br /> Job Site Address: _ ��� CAA Lff�ffLIP L/T4 p Code: <br /> caf <br /> Customer Name(print): (Signature): <br /> IKG Authorized Receiving)'acuity Name/Address (cixcle du�oap silte for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751 N. Thornton did <br /> Lodi, CA 95242 <br /> (209)333-6749 <br /> Date of[KG Receipt: f1 Time of XKG Receipt: ,2!q V Total IKG Received: <br /> Septic xease <br /> Receiving Facility Rep.Name(Print) ri�►� 0 (Signature): <br /> Authorized Transporter: Vehicle Decal Number. -7l ` 9 <br /> Stockton Roto Rooter Driver Name(print): ECL Ll <br /> � <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> z d 1199 'ON Ad9� 5 910 Zl 'aaa <br />