Laserfiche WebLink
LI LZ66 "N AVSE :8 S [0 Z A 0 N aLU!1 pan i ;3 <br /> Inedible Kitchen Grease (IKG) Manifest <br /> e` <br /> Stockton Roto footer Grease & Septic Sen ice top <br /> Date: 7 Time: <br /> fly�_ _�_ /0 ' ->�A1V1 i PSI 11Zanifest#L-01 �, 6 <br /> Susbuess Nance: <br /> Job Site Address: ���,� � /,G�or y'�t Zip Code: <br /> Customer Name (print): - L r, 2faL/ (Signature): <br /> IKG Authorized Receiving Facility Nance/Address (circle dumpa for facility) <br /> City of Lodi-Whiteslough SPCF <br /> 12751. N. Thornton Rd <br /> Dodi, CA 95242 <br /> (209) 333-6749 <br /> Date of IKG Receipt: 7 �5 Time of IKG Receipt: Total IKG Received: G� <br /> Se tic Grease <br /> Receiving Facility Rep.Name(Print) �W (Signature): <br /> Authorized Transporter: Vehicle Decal Number: / �1/f <br /> Stockton Roto Rooter Driver Name(print): �26o-SCue- 'f' <br /> 4228 Newton Rd <br /> Stockton,CA 95203 Driver Signature. <br /> t <br /> z d LZK 'ON Ad9E 2 S0 z 'AON <br />