Laserfiche WebLink
9020 "N WdLS :ti L1Z 8 'qad ;W1 j paniaaad <br /> Inedible Kitchen Grease (IKG) Manifest <br /> Stockton Roto Rooter Grease & Septic Service <br /> Date: -7 Time: C> AM/PM Manifest 9 L- 0239 <br /> Business Name: 11 (� K- � <br /> Job Site Address:_ _ ���I� �� Zip Code: <br /> q , <br /> Customer Name (print)• a`�►"�Y �/ � (SignatureL�, �`� <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: D/f 4`/�ime of IKG Receipt: Total IKG Received; g n <br /> Septic Grease <br /> Receiving Facility Rep.Name(Prinoll I e <br /> 1 <br /> Authorized Transport®r: Vehicle Decal Number: jf�- — <br /> Stockton Roto Rooter Driver Nawe(print): a J h S <br /> 4228 Newton Rd <br /> Stockton,CA 95205 Driver Signature: <br /> RECEIVED P.M, <br /> FEB 0 9 2017 <br /> MMRONUENTAL NIFAi.TM <br /> KRI mrrr4EgW- J <br /> 9 d 0IOL '°N WdtiO : S L I 0 l '8 'qad <br />