Laserfiche WebLink
ti909 'IN WdEZ :E til0Z 'S[ 'APA awil paniaOad <br /> Inedible Kitchen Grease (IKG) Manifest Ll o V <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: Time: AM �Manifest#L- 6 <br /> I <br /> ilusiuess Name- <br /> Job Site Address: 7Z CZCode: S <br /> Customer Name (print):Jh,ni_-�r C-'"/n_(Signn T <br /> I:KG Authorized Receiving Facility Name/Address (circlesite for facility) <br /> City of Lodi-Whitesl,ough SPCF <br /> 12751 N. Thomtoxi Rd <br /> LoA CA 95242 <br /> (209)333-6749 <br /> Date of IKG Receipt:3 2///�Time of I•KG Receipt: ! -f� Total IKG Received: / �L <br /> Se tic Grease <br /> Receiving Facility Rep.Name(Print) � 11 (Signature): <br /> C <br /> Authorized Transporter: 'Vehicle Decal Number: / t Cf Q <br /> Stockton Roto Rooter Driver Name(priat): <br /> 4128 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> 8T/8T 39 d Jd100�1 0101 9Z6559b60Z LZ:bT bTOZ/5T/50 <br />